Provider Demographics
NPI:1275820250
Name:GLASSPOOL, NORA GRIFFIN (MD)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:GRIFFIN
Last Name:GLASSPOOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-6626
Mailing Address - Country:US
Mailing Address - Phone:207-873-1181
Mailing Address - Fax:207-873-1186
Practice Address - Street 1:31 FRONT ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-6626
Practice Address - Country:US
Practice Address - Phone:207-873-1181
Practice Address - Fax:207-873-1186
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD20252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine