WALTER R. GLAUBER NP NPI 1821210287

NPI Information

NPI: 1821210287
Provider Name: WALTER R. GLAUBER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT

PECOS Registration: Yes

Address:
311 W LINCOLN ST
STE 201
BELLEVILLE, IL
ZIP 62263
Phone: (618) 222-3200
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Walter R. Glauber, NP is a family nurse practitioner in Belleville, IL with 35 years of experience. Walter R. Glauber, NP NPI is 1821210287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

311 W LINCOLN ST
STE 201
BELLEVILLE, IL
ZIP 62263-902
Phone: (618) 222-3200
Fax: (618) 222-3203

The NPI 1821210287 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 5/3/2007 and was last updated on 12/16/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		097839	MISSOURI	No
2	163W00000X	Registered Nurse		041-201910	ILLINOIS	No
3	363LF0000X	Nurse Practitioner	Family	097839	MISSOURI	No
4	363LF0000X	Nurse Practitioner	Family	209.001302	ILLINOIS	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IL3374010	MEDICARE PIN	ILLINOIS
2	$$$$$$$$$	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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