Individual
ANNELIESE K. GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
151 S WARNER RD STE 100, WAYNE, PA 19087-2127
(800) 301-0110
Mailing address
PO BOX 14263, LAS CRUCES, NM 88013-4263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61917
NM
Other
Enumeration date
09/07/2020
Last updated
02/03/2023
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