Individual
CYNTHIA L COLGLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7 E MAIN ST, GOSPORT, IN 47433-7034
(812) 879-4222
(812) 879-4834
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 879-4222
(812) 879-4834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003751
IN
Other
Enumeration date
12/01/2011
Last updated
12/03/2020
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