Individual
MS. DANICA MARIE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
101 MEDICAL PARK DR, MEBANE, NC 27302-7601
(919) 563-2500
(336) 584-6811
Mailing address
PO BOX 1717, BURLINGTON, NC 27216-1717
(336) 538-1234
(336) 584-6811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
190761
NC
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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