Individual
ZSUZSA GLASSCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1128 EAGLERIDGE BLVD, PUEBLO, CO 81008-2103
(719) 778-1414
(719) 674-1000
Mailing address
1335 E PLATTEVILLE BLVD, PUEBLO WEST, CO 81007-1006
(719) 547-2155
(719) 547-2155
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
603265
NY
363LF0000X
Family Nurse Practitioner
Primary
0992954
CO
363LF0000X
Family Nurse Practitioner
339164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000165641
—
CO
Enumeration date
03/29/2010
Last updated
10/09/2019
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