=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427221753
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. JULIA S GELMAN GLAZIER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2008
-----------------------------------------------------
Last Update Date | 04/08/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1096 OLD CHURCHMANS RD
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19713-2102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-655-9494
-----------------------------------------------------
Fax | 302-351-4898
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1941 LIMESTONE RD SUITE 101
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19808-5408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-633-3555
-----------------------------------------------------
Fax | 302-633-3350
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | LT-0032685
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------