Doctor Name: | ANALISA COLGLAZIER |
NPI Number: | 1154736379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 111670 |
Business Practice Address: | 601 W Leota St North Platte, NE - 691016525 |
Business Phone Number: | 3086968000 |
Business Fax Number: | |
Mailing Address: | 601 W Leota St, NORTH PLATTE |
State: | NE |
Postal Code: | 691016525 |
Phone Number: | 3086968000 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2014 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 111670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |