MEDICARE: ERIN NICOLE GLANKLER MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1427707520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN NICOLE GLANKLER MD

Provider Business Mailing Address
First Line	:	700 CHILDRENS DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2639
Country	:	US
Telephone Number	:	614-722-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 CHILDREN'S LN
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23507-9982
Country	:	US
Telephone Number	:	757-668-7249
Fax Number	:

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

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	06/13/2025

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