Doctor Name: | MS. CHERYL ANNE GLASS |
NPI Number: | 1871668954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | RN0000052333T |
Business Practice Address: | 4485 S Trace Blvd Old Hickory, TN - 371384206 |
Business Phone Number: | 6158478428 |
Business Fax Number: | |
Mailing Address: | 4485 S Trace Blvd, OLD HICKORY |
State: | TN |
Postal Code: | 371384206 |
Phone Number: | 6158478428 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | RN0000052333T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |