SUSAN RENA GLASS NP NPI 1639219546

NPI Information

Susan Rena Glass, NP is an obstetrics and gynecology nurse practitioner in Fayetteville, NC with 28 years of experience. Susan Rena Glass, NP NPI is 1639219546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

2029 VALLEYGATE DR
SUITE 101
FAYETTEVILLE, NC
ZIP 28304-688
Phone: (910) 323-2103
Fax: (910) 323-2219

The NPI 1639219546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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