Light, Gloria Von Rossum

Light, Gloria Von Rossum is an individual health care provider with primary practice located at 4500 Stuart St Moncrief Army Hospital, Attn: Mcxl-Pq (Credentials), Columbia SC 29207-5700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Light, Gloria Von Rossum can be contacted via phone (803) 751-2689.

Contact Information

Primary practice address
4500 Stuart St Moncrief Army Hospital, Attn: Mcxl-Pq (Credentials) Columbia SC 29207-5700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 243250 Texas

Profile Details

NPI number 1821194036
LBN Legal business name Light, Gloria Von Rossum
Credentials RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
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.

Request for update

Popular Providers