Individual provider · Type 1 NPI

Angel Glaze

Registered Nurse · Lawrenceville, GA

NPI number 1134074719 Active

Practice location

847 Conners Cv
Lawrenceville, GA 30044-6934

Fax (704) 582-6112

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide	376K00000X	CN0030099469 (GA)
Registered Nurse Primary	163W00000X	RN215700 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1134074719

Angel Glaze's National Provider Identifier is 1134074719, issued on Feb 28, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 28, 2026.