Provider Demographics
NPI:1164972196
Name:GLASSMAN, CORTNEY R (APRN)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:R
Last Name:GLASSMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 INDUSTRIAL BLVD SUITE C
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-1037
Mailing Address - Country:US
Mailing Address - Phone:850-290-8410
Mailing Address - Fax:866-290-8410
Practice Address - Street 1:45 INDUSTRIAL BLVD SUITE C
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-6322
Practice Address - Country:US
Practice Address - Phone:850-290-8410
Practice Address - Fax:866-574-6391
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC232807163WC1500X
FLAPRN11007604363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health