Glass, Kathleen Anne
Glass, Kathleen Anne is an individual health care provider with primary practice located at 2001 S Main St , Wake Forest NC 27587-1649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Glass, Kathleen Anne can be contacted via phone (919) 350-0365.Contact Information
Primary practice address
2001 S Main St
Wake Forest NC 27587-1649
Phone: (919) 350-0365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5015783 | North Carolina |
Profile Details
| NPI number | 1336894609 |
|---|---|
| LBN Legal business name | Glass, Kathleen Anne |
| Credentials | DNP, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2022 |
| Last updated | Feb 15th, 2022 - about 2 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 | 1336894609 | NPPES |
| North Carolina | Other | 5015783 | NORTH CAROLINA BOARD OF NURSING |
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