Individual
SHIRLEY J GLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 JOHN ROEMMELT DR, HORSEHEADS, NY 14845-8301
(607) 795-2828
(607) 795-2829
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332819
NY
363LF0000X
Family Nurse Practitioner
F332819-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02077058
—
NY
05
—
102802074
—
PA
Enumeration date
01/15/2007
Last updated
06/10/2016
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