Individual
SUNNE PACE GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
77 STARBRUSH CIR, COVINGTON, LA 70433-7209
(985) 893-0995
Mailing address
707 HARDY ST, AMITE, LA 70422-2323
(225) 244-0306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202371
LA
363LF0000X
Family Nurse Practitioner
Primary
202371
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202371
RN LICENSE
LA
Enumeration date
11/20/2019
Last updated
07/30/2024
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