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NPI Code Detail

MEDICARE: MRS. DEBRA LYNN GLASS CNM

MEDICARE:  MRS. DEBRA LYNN GLASS  CNM
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
1367A00000XAdvanced Practice MidwifeR201736MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18L6698OTHERTXMEDICARE PTAN

General Provider Information

NPI Number : 1932181393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA LYNN GLASS CNM
Provider Business Mailing Address
First Line : 23295 LAKEVIEW DR
Second Line :
City : CALIFORNIA
State : MD
Zip : 20619-4206
Country : US
Telephone Number : 817-366-8817
Fax Number :
Provider Business Practice Location Address
First Line : 3500 OLD WASHINGTON RD
Second Line : SUITE302
City : WALDORF
State : MD
Zip : 20602-3224
Country : US
Telephone Number : 301-645-8867
Fax Number : 301-645-2330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 11/21/2013

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Directions to “ MRS. DEBRA LYNN GLASS CNM” Practice Location

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