Individual
EDWARD CHARLES GLAZEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RN, FNP-C
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 854-3248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2357058
MA
363L00000X
Nurse Practitioner
Primary
RN2357058
MA
363LF0000X
Family Nurse Practitioner
RN2357058
MA
Other
Enumeration date
12/16/2021
Last updated
01/03/2024
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