Individual
NEELY A GLADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
524 BRANCH CT, COLUMBIA CITY, IN 46725-1323
(260) 244-6203
(260) 244-5212
Mailing address
524 BRANCH CT, COLUMBIA CITY, IN 46725-1323
(260) 244-6203
(260) 244-5212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001997A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528916
ANTHEM
IN
01
—
351972384039
TRICARE
IN
Enumeration date
08/31/2006
Last updated
04/18/2008
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