Individual
SARA GLASSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
454 E DUPONT RD, FORT WAYNE, IN 46825-2050
(260) 436-4060
(260) 702-0949
Mailing address
454 E DUPONT RD, FORT WAYNE, IN 46825-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004474A
IN
Other
Enumeration date
07/08/2013
Last updated
02/19/2025
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