Provider Demographics
NPI:1891028502
Name:METZGER, STEPHANIE GAIL (DNP,RN,CPNP-PC,PMHS)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:GAIL
Last Name:METZGER
Suffix:
Gender:F
Credentials:DNP,RN,CPNP-PC,PMHS
Other - Prefix:
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Mailing Address - Street 1:2401 DOROTHEA LN
Mailing Address - Street 2:
Mailing Address - City:MAIDENS
Mailing Address - State:VA
Mailing Address - Zip Code:23102-2627
Mailing Address - Country:US
Mailing Address - Phone:804-370-2588
Mailing Address - Fax:
Practice Address - Street 1:1749 OLD MEADOW RD STE 205
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4322
Practice Address - Country:US
Practice Address - Phone:703-935-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-13
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01094676363LP0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics