Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | A-076526 | IA |
NPI | 1033301098 |
---|---|
Provider Name | Miss Anne M Glaser |
First Address | Dubuque, IA 52001-7320 |
Second Address | Dubuque, IA 52001-7320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 01/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A-076526 | STATE LICENSE (01) | IA |