Provider Demographics
NPI:1386047785
Name:METZGER, CHEYENNE P (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:P
Last Name:METZGER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2136
Mailing Address - Country:US
Mailing Address - Phone:570-269-9968
Mailing Address - Fax:
Practice Address - Street 1:1243 S CEDAR CREST BLVD STE 2800
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6230
Practice Address - Country:US
Practice Address - Phone:610-402-6790
Practice Address - Fax:610-402-6979
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2288573163W00000X, 363LF0000X
PARN689994163W00000X
PASP017141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse