Provider Demographics
NPI:1902355233
Name:METTERNICH, CHRISTINA (MSN, APN-FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:METTERNICH
Suffix:
Gender:F
Credentials:MSN, APN-FNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:STASSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1020 FRANCIS SARTORY RD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IL
Mailing Address - Zip Code:62379-1836
Mailing Address - Country:US
Mailing Address - Phone:217-440-9393
Mailing Address - Fax:
Practice Address - Street 1:1221 S GEAR AVE
Practice Address - Street 2:
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1681
Practice Address - Country:US
Practice Address - Phone:319-768-1000
Practice Address - Fax:319-768-4215
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA150875363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily