Individual
DEBORAH ANN MCGLASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
28193517A
IN
251B00000X
Case Management Agency
28193517A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009915A
IN
3747P1801X
Personal Care Attendant
28193517A
IN
Other
Enumeration date
04/03/2012
Last updated
09/19/2024
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