Individual
MS. ERICA LYNN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2159 WATERFALL WAY, MADISON, WI 53718-9277
(845) 642-0573
Mailing address
2159 WATERFALL WAY, MADISON, WI 53718-9277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13490-33
WI
363LP2300X
Primary Care Nurse Practitioner
R170619
MD
Other
Enumeration date
04/20/2011
Last updated
01/30/2026
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