MEDICARE: ANNA GLOTH MSN, AGNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP9482442	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033514179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA GLOTH MSN, AGNP-C

Provider Business Mailing Address
First Line	:	1867 IVORY CANE PT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3384
Country	:	US
Telephone Number	:	443-956-4284
Fax Number	:

Provider Business Practice Location Address
First Line	:	6125 RATTLESNAKE HAMMOCK RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-2912
Country	:	US
Telephone Number	:	239-417-8511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2014
Last Update Date	:	03/02/2021

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