Individual
BRUCE ALAN METTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
333 PAXSON AVE, GLENSIDE, PA 19038-4613
(215) 572-1925
Mailing address
333 PAXSON AVE, GLENSIDE, PA 19038-4613
(215) 572-1925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R257521L
PA
163W00000X
Registered Nurse
R39963
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R257521L
LICENSE
PA
Enumeration date
01/06/2021
Last updated
01/06/2021
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