Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | SP015294 | PA |
N | 363LA2100X | Nurse Practitioner - Acute Care | SP015294 | PA |
NPI | 1013384718 |
---|---|
Provider Name | Mrs. Alina N Glazunova |
First Address | Harrisburg, PA 17111 |
Second Address | Harrisburg, PA 17111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2015 |
Last Update Date | 01/03/2016 |