Individual
HOLLY METZEROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
116 W WEST ST, SOUTHPORT, NC 28461-3840
(704) 576-4476
Mailing address
116 W WEST ST, SOUTHPORT, NC 28461-3840
(704) 576-4476
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051508
—
NC
Enumeration date
05/12/2006
Last updated
07/08/2007
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