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Individual
MRS. ALINA N GLAZUNOVA
Active
Individual
MRS. ALINA N GLAZUNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015294
PA
363LA2100X
Acute Care Nurse Practitioner
SP015294
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103065790
—
PA
01
—
13623751
CAQH
—
01
—
SP024636
STATE LICENSE
PA
Enumeration date
08/28/2015
Last updated
09/26/2022
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