Individual
ERIC L GLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Mailing address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7100262A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559731
ANTHEM
—
05
—
200911350
—
IN
Enumeration date
02/18/2008
Last updated
12/18/2025
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