Glass, Amy Bradshaw
Glass, Amy Bradshaw is an individual health care provider with primary practice located at 1940 Alcoa Hwy Suite E - 210, Knoxville TN 37920-2244. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Glass, Amy Bradshaw can be contacted via phone (865) 524-7471.Contact Information
Primary practice address
1940 Alcoa Hwy Suite E - 210
Knoxville TN 37920-2244
Phone: (865) 524-7471
Fax: (865) 305-6563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 150292 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 13795 | Tennessee |
Profile Details
NPI number | 1578718342 |
---|---|
LBN Legal business name | Glass, Amy Bradshaw |
Credentials | ACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 20th, 2008 |
Last updated | Dec 5th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578718342 | NPPES |
Tennessee | MEDICAID | 1514111 |
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