Individual
GLORIA JEAN FLUELLEN
Active
Individual
GLORIA JEAN FLUELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
420229
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721864
—
NY
01
—
NP0247
PREFERRED CARE
NY
01
—
P019420229
BLUE CHOICE
NY
Enumeration date
07/04/2006
Last updated
07/05/2023
Update your record
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