Doctor Name: | MS. MARIAN STEWART GLADDEN |
NPI Number: | 1285973040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN.40727 |
Business Practice Address: | 2351 Longtown Rd E Blythewood, SC - 290169491 |
Business Phone Number: | 8036916850 |
Business Fax Number: | 8036916860 |
Mailing Address: | 2351 Longtown Rd E, BLYTHEWOOD |
State: | SC |
Postal Code: | 290169491 |
Phone Number: | 8036916850 |
Fax Number: | 8036916860 |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN.40727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |