Individual
ANN GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
673 WESTBURY DR, #201, IOWA CITY, IA 52245-2730
(319) 356-6352
Mailing address
673 WESTBURY DR, #201, IOWA CITY, IA 52245-2730
(319) 356-6352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117446
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G117446
IA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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