Individual
NIKKI J GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
822 KUMHO DR STE 101, FAIRLAWN, OH 44333-9298
(330) 576-0126
(216) 649-0551
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459508
—
OH
Enumeration date
07/20/2021
Last updated
11/03/2025
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