Individual
MRS. ASHLEY NICOLE GLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1125 IMPERIAL MAIN, IMPERIAL, MO 63052
(636) 206-8051
Mailing address
1125 IMPERIAL MAIN, IMPERIAL, MO 63052
(636) 206-8051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020023122
MO
Other
Enumeration date
09/11/2020
Last updated
10/20/2022
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