Individual
JOANNA N. GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
802 HOPKINS ST FL 2, GARLAND WOMEN'S HEALTH CENTER, GARLAND, TX 75040-7379
(214) 266-0780
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
582532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137777210
—
TX
05
—
137777211
—
TX
05
—
137777212
—
TX
05
—
137777213
—
TX
05
—
137777214
—
TX
05
—
137777215
—
TX
05
—
137777216
—
TX
05
—
137777217
—
TX
05
—
137777218
—
TX
05
—
137777219
—
TX
Enumeration date
12/21/2006
Last updated
04/28/2009
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