Individual
JUDITH GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4500
Mailing address
2509 COUNTY ROAD 2, MC DONOUGH, NY 13801-3102
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
F320035-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02199897
—
NY
Enumeration date
11/28/2006
Last updated
07/09/2007
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