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Individual

MRS. KIMBERLY ELAINE GLASGOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5900 NW 86TH ST STE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Mailing address
5900 NW 86TH ST STE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5640-33
WI
363LF0000X
Family Nurse Practitioner
Primary
A122442
IA
363LF0000X
Family Nurse Practitioner
R2042150
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952640369
IA
Enumeration date
02/05/2013
Last updated
08/29/2024
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