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NPI Code Detail

MEDICARE: CATHERINE GLASSMAN

MEDICARE:   CATHERINE  GLASSMAN
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
1363LF0000XFamily Nurse Practitioner847649NV

General Provider Information

NPI Number : 1245999127
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE GLASSMAN
Provider Business Mailing Address
First Line : 4950 S RAINBOW BLVD UNIT 1114
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4950 S RAINBOW BLVD UNIT 1114
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1432
Country : US
Telephone Number : 702-637-0342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2021
Last Update Date : 05/11/2023

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Directions to “ CATHERINE GLASSMAN ” Practice Location

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