Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0027670 | OH |
NPI | 1073114146 |
---|---|
Provider Name | Pamela Jane Glaser |
First Address | Cincinnati, OH 45248-5133 |
Second Address | Cincinnati, OH 45248-5133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2020 |
Last Update Date | 19/11/2020 |