Individual
MS. KATHLEEN ZILLNER GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
12 CENTER ST, SUITE ONE, FREDONIA, NY 14063-1769
(716) 679-2233
(716) 672-4163
Mailing address
12 CENTER ST, SUITE ONE, FREDONIA, NY 14063-1769
(716) 679-2233
(716) 672-4163
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304889-1
NY
Other
Enumeration date
09/01/2009
Last updated
05/01/2014
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