Individual
MRS. NIKKI RUTH GLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
4675 HILL ST, CASS CITY, MI 48726-1099
(989) 872-2121
Mailing address
1296 S VAN DYKE RD, BAD AXE, MI 48413-9715
(989) 550-9349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704299831
MI
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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