Individual provider · Type 1 NPI
Marisol Glover
Psychiatric/Mental Health Nurse Practitioner · Waukegan, IL
NPI number
1497027262
Active
Practice location
2323 Grand Ave
Waukegan, IL 60085-3312
Mailing address
5360 Conifer Ln
Gurnee, IL 60031-6352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209009375 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209009375 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497027262
Marisol Glover's National Provider Identifier is 1497027262, issued on Feb 8, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waukegan, IL. The record was last updated on Dec 12, 2022.