Individual provider · Type 1 NPI

Stacey L. Glover

Nurse Practitioner · Wauwatosa, WI

NPI number 1073164406 Active

Practice location

10800 W Capitol Dr
Wauwatosa, WI 53222-1109

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9250 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073164406

Stacey L. Glover's National Provider Identifier is 1073164406, issued on Sep 26, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Nov 22, 2021.