Individual
PATRICIA A GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 LOUISIANA AVE, SAINT CLOUD, FL 34769-4116
(407) 593-0122
Mailing address
5020 JEAN ST, COCOA, FL 32927-9218
(831) 801-8759
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11042551
FL
Other
Enumeration date
10/02/2025
Last updated
12/19/2025
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