Basic Information
| Provider Information | |||||||||
| NPI: | 1083192330 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | METCALF | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | APRN, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4580 STEPHENS CIR NW STE 202 | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447183645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307544431 | ||||||||
| FaxNumber: | 3302448839 | ||||||||
| Practice Location | |||||||||
| Address1: | 4580 STEPHENS CIR NW STE 202 | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447183645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307544431 | ||||||||
| FaxNumber: | 3302448839 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2018 | ||||||||
| LastUpdateDate: | 07/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | APRN.CNP.023293 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.