Individual
ASHLEY GLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 985-9681
(810) 985-5310
Mailing address
3350 GRATIOT BLVD, MARYSVILLE, MI 48040-2121
(810) 364-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704307061
MI
Other
Enumeration date
04/19/2021
Last updated
10/08/2021
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