Doctor Name: | MELISSA MARIE GLASER |
NPI Number: | 1023085412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 28142226A |
Business Practice Address: | 615 N Michigan St Memorial Hospital- Community Health Enhancement South Bend, IN - 466011033 |
Business Phone Number: | 5746472173 |
Business Fax Number: | |
Mailing Address: | 328 N Michigan St, Suite 200 SOUTH BEND |
State: | IN |
Postal Code: | 466011244 |
Phone Number: | 5746471842 |
Fax Number: | 6746471825 |
NPI Enumeration Date: | 03/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 28142226A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |