Individual
MRS. GLENDA DARLENE BALIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2819 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 762-3466
(228) 762-6349
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902451
MS
Other
Enumeration date
01/05/2018
Last updated
12/05/2023
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