Cynthia A Metcalf, RN

Individual provider Active NPI Registered Nurse · Christopher, IL

NPI 1508345489 · NPPES record last updated Aug 10, 2018

Key facts

NPI
1508345489
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
041244660 (IL)
Practice address
4241 Highway 14 W
Christopher, IL 62822-1037
Phone
(618) 724-2401
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041244660ILMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041244660 IL Yes

Addresses

Primary practice location

4241 Highway 14 W
Christopher, IL 62822-1037

Mailing address

4241 Highway 14 W
Christopher, IL 62822-1037

Other providers in Christopher, IL

All providers in Christopher, IL · Registered Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.