Healthcare Provider Details

I. General information

NPI: 1437053832
Provider Name (Legal Business Name): ELAINE SPIKER GLASS CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7652 BELAIR RD STE A
NOTTINGHAM MD
21236-4088
US

IV. Provider business mailing address

7652 BELAIR RD STE A
NOTTINGHAM MD
21236-4088
US

V. Phone/Fax

Practice location:
  • Phone: 443-524-2712
  • Fax: 443-399-1282
Mailing address:
  • Phone: 443-524-2712
  • Fax: 443-399-1282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR196009
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: