Healthcare Provider Details

I. General information

NPI: 1942567870
Provider Name (Legal Business Name): NORA NATALIA GLAUSER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 09/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PARK AVE # O5.210 HENNEPIN COUNTY MEDICAL CENTER CARDIOLOGY DIVISION
MINNEAPOLIS MN
55415-1623
US

IV. Provider business mailing address

701 PARK AVE # O5.210 HENNEPIN COUNTY MEDICAL CENTER CARDIOLOGY DIVISION
MINNEAPOLIS MN
55415-1623
US

V. Phone/Fax

Practice location:
  • Phone: 612-873-9965
  • Fax: 612-904-4644
Mailing address:
  • Phone: 612-873-9965
  • Fax: 612-904-4644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: