Doctor Name: | MS. DEBORAH F GLASHEEN |
NPI Number: | 1104853225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP006723L |
Business Practice Address: | 4131c Oregon Pike Ephrata, PA - 175229550 |
Business Phone Number: | 7178599902 |
Business Fax Number: | 7178598774 |
Mailing Address: | 4131c Oregon Pike, EPHRATA |
State: | PA |
Postal Code: | 175229550 |
Phone Number: | 7178599902 |
Fax Number: | 7178598774 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | UP006723L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |