| NPI | 1245000264 |
|---|---|
| Former Name | ANGELA GLIDEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014810A) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-31 |