Individual
JOANNE M. METTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30005088
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30005088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155092
L&I PIN
WA
01
—
32566U
REGENCE BLUE SHIELD
WA
01
—
8929520
L&I CRIME VICTIMS
WA
05
—
9640012
—
WA
Enumeration date
07/04/2006
Last updated
06/27/2011
Update your record
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