Individual
MRS. STEPHANIE MARIE GLASSPOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP, FNP-C
Contact information
Practice address
4500 DEAN LAKES BLVD, SHAKOPEE, MN 55370
(866) 389-2727
Mailing address
4500 DEAN LAKES BLVD, SHAKOPEE, MN 55370
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184695-9
MN
363L00000X
Nurse Practitioner
6986
MN
363L00000X
Nurse Practitioner
6989
MN
363LF0000X
Family Nurse Practitioner
Primary
6986
MN
Other
Enumeration date
10/29/2019
Last updated
03/27/2025
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