Provider Demographics
NPI:1831845973
Name:METZMEIER, KELSEY REIS (FNP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:REIS
Last Name:METZMEIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:ANN
Other - Last Name:REIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6648 CASTLE GREEN PL
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-2764
Mailing Address - Country:US
Mailing Address - Phone:813-451-5766
Mailing Address - Fax:
Practice Address - Street 1:6648 CASTLE GREEN PL
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-2764
Practice Address - Country:US
Practice Address - Phone:813-451-5766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11018284208M00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist