Individual provider · Type 1 NPI
Angie Glosson
Adult Psychiatric/Mental Health Registered Nurse · Detroit, MI
NPI number
1457774382
Active
Practice location
12800 E Warren Ave
Detroit, MI 48215-2061
Fax (313) 824-5589
Mailing address
8200 E Jefferson Ave Apt 1402
Detroit, MI 48214-3972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 4704141314 (MI) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1457774382
Angie Glosson's National Provider Identifier is 1457774382, issued on Jan 29, 2014. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Detroit, MI. The record was last updated on Jan 29, 2014.