Healthcare Provider Details

I. General information

NPI: 1427221753
Provider Name (Legal Business Name): MS. JULIA S GELMAN GLAZIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1096 OLD CHURCHMANS RD
NEWARK DE
19713-2102
US

IV. Provider business mailing address

1941 LIMESTONE RD SUITE 101
WILMINGTON DE
19808-5408
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-9494
  • Fax: 302-351-4898
Mailing address:
  • Phone: 302-633-3555
  • Fax: 302-633-3350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLT-0032685
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: