Doctor Name: | MS. VANESSA E GLAZE |
NPI Number: | 1053480046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P |
License Number: | 6399 |
Business Practice Address: | 1014 San Juan Ave Exeter, CA - 932211312 |
Business Phone Number: | 5595927353 |
Business Fax Number: | |
Mailing Address: | 410w Mineral King Ave, VISALIA |
State: | CA |
Postal Code: | 932916237 |
Phone Number: | 5595927353 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 6399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |