MEDICARE: NUPOOR GLASER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0037338	OH

General Provider Information

NPI Number	:	1417783275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NUPOOR GLASER

Provider Business Mailing Address
First Line	:	7901 SCHATZ POINTE DR STE A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3824
Country	:	US
Telephone Number	:	937-438-9841
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 SCHATZ POINTE DR STE A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3824
Country	:	US
Telephone Number	:	937-438-9841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	10/08/2024

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Directions to “ NUPOOR GLASER ” Practice Location

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