Doctor Name: | WONDA JEAN GLASSER |
NPI Number: | 1073658787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.A. |
License Number: | 513342 |
Business Practice Address: | 510 N 19th St Lot 48 Canon City, CO - 812122467 |
Business Phone Number: | 7192526013 |
Business Fax Number: | |
Mailing Address: | 1460 Red Canyon Rd, P.o. Box 83 CANON CITY |
State: | CO |
Postal Code: | 812128828 |
Phone Number: | 7192526013 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 513342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |