Individual
KAREN THELMA GLUCKSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
HWY 160 163 BUILDING KA2010, KAYENTA, AZ 86033-0368
(928) 697-4000
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 658-3378
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30001524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
09/13/2006
Last updated
08/14/2012
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