Individual
SHANNON DEANN GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7000
Mailing address
5713 SUMMER PLACE PKWY, HOOVER, AL 35244-6005
(205) 447-4863
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-122307
AL
Other
Enumeration date
02/01/2018
Last updated
07/21/2023
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