Individual
REBECCA RAE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
10165 W 25TH AVE APT 90, LAKEWOOD, CO 80215-1457
(785) 979-1467
Mailing address
10165 W 25TH AVE APT 90, LAKEWOOD, CO 80215-1457
(785) 979-1467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0996288-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0996288-NP
CO
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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