| NPI | 1881195048 |
|---|---|
| Other Name | GLENN EDWARD MOTT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 048276-23) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 048276-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 048276-23) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-07-24 |