Individual
MRS. SHANE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 842-3663
Mailing address
74348 JACK LLOYD RD, ABITA SPRINGS, LA 70420-2732
(985) 264-1353
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP04941
LA
Other
Enumeration date
06/03/2017
Last updated
03/17/2018
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