Glass, Lakieta Edwards

Glass, Lakieta Edwards is an individual health care provider with primary practice located at 2 Tampa General Cir Fl 6 , Tampa FL 33606-3571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Glass, Lakieta Edwards can be contacted via phone (813) 259-8527.

Contact Information

Primary practice address
2 Tampa General Cir Fl 6 Tampa FL 33606-3571
Phone: (813) 259-8527
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11026457 Florida

Profile Details

NPI number 1053739813
LBN Legal business name Glass, Lakieta Edwards
Credentials C.N.M., W.H.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2014
Last updated Jan 18th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053739813 NPPES
Florida MEDICAID 120554800
Florida Other MTOLF

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