Individual
LAVERN ANGELA GLAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3 PARK CIRCLE DR, MIDDLETOWN, NY 10940-2945
(914) 843-6424
(845) 341-1032
Mailing address
3 PARK CIRCLE DR, MIDDLETOWN, NY 10940-2945
(914) 843-6424
(845) 341-1032
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
495182-1
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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