Individual
KATELYN JEAN GLASMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4300 W UNIVERSITY DR, PROSPER, TX 75078-9806
(682) 303-8000
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1102990
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1102990
TX
Other
Enumeration date
01/13/2023
Last updated
03/28/2023
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