Individual
DR. KATHLEEN ANNE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
2001 S MAIN ST, WAKE FOREST, NC 27587-1649
(919) 350-0365
Mailing address
2525 MOUNT VERNON CHURCH RD, RALEIGH, NC 27614-7154
(717) 494-9165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015783
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
02/15/2022
Last updated
02/15/2022
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