Provider Demographics
NPI:1043402449
Name:METZGER, SHEILA KAY (LPN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:KAY
Last Name:METZGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12188 NEW LONDON EASTERN RD
Mailing Address - Street 2:
Mailing Address - City:HOMERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44235-9744
Mailing Address - Country:US
Mailing Address - Phone:330-648-8005
Mailing Address - Fax:
Practice Address - Street 1:12188 NEW LONDON EASTERN RD
Practice Address - Street 2:
Practice Address - City:HOMERVILLE
Practice Address - State:OH
Practice Address - Zip Code:44235-9744
Practice Address - Country:US
Practice Address - Phone:330-648-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.052936164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse