Individual
MS. MARIA J GLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. FNP-BC
Contact information
Practice address
278 VERANDA ST, PORTLAND, ME 04103
(207) 272-3138
Mailing address
260 WESTERN AVENUE, B, SOUTH PORTLAND, ME 04106-2432
(207) 272-3138
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
CNP101081
ME
174H00000X
Health Educator
CNP101081
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP101081
ME
405300000X
Prevention Professional
CNP101081
ME
Other
Enumeration date
12/10/2014
Last updated
06/29/2018
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