Healthcare Provider Details

I. General information

NPI: 1588805782
Provider Name (Legal Business Name): FLORA J GLASGOW NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST ATTN: PRMG
SALISBURY MD
21801-5422
US

IV. Provider business mailing address

100 E CARROLL ST ATTN: PRMG
SALISBURY MD
21801-5422
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-7531
  • Fax: 410-912-6386
Mailing address:
  • Phone: 410-543-7531
  • Fax: 410-912-6386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR082964
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: