Individual
GYPSY RAIN GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
Mailing address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-117311
AL
Other
Enumeration date
04/23/2012
Last updated
08/28/2016
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