Glass, Susan Rena
Glass, Susan Rena is an individual health care provider with primary practice located at 2029 Valleygate Dr Suite 101, Fayetteville NC 28304-3688. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Glass, Susan Rena can be contacted via phone (910) 323-2103.Contact Information
Primary practice address
2029 Valleygate Dr Suite 101
Fayetteville NC 28304-3688
Phone: (910) 323-2103
Fax: (910) 323-2219
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 200863 | North Carolina |
Profile Details
NPI number | 1639219546 |
---|---|
LBN Legal business name | Glass, Susan Rena |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
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