Individual provider · Type 1 NPI
Laura E. Glass, CRNP
Primary Care Nurse Practitioner · Demopolis, AL
NPI number
1124674031
Active
Practice location
105 US Highway 80 E
Demopolis, AL 36732-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-144028 (AL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1-144028 (AL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1124674031
Laura E. Glass, CRNP's National Provider Identifier is 1124674031, issued on Aug 15, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Demopolis, AL. The record was last updated on Aug 15, 2019.