Doctor Name: | REHANA SULTANA KAZI GLOD |
NPI Number: | 1013273820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, FNP-BC |
License Number: | 0024169280 |
Business Practice Address: | 14051 St Francis Blvd Suite 1400 Midlothian, VA - 231143201 |
Business Phone Number: | 8043258851 |
Business Fax Number: | |
Mailing Address: | 14051 St Francis Blvd, Suite 1400 MIDLOTHIAN |
State: | VA |
Postal Code: | 231143201 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024169280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |