Individual
JENNIFER GLAETTLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 992-4422
Mailing address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 992-4422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA16804-NP
OH
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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