Provider Demographics
NPI:1437279791
Name:BOND, GLORIANE (MSN, APRN,FNP-BC)
Entity Type:Individual
Prefix:
First Name:GLORIANE
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:MSN, APRN,FNP-BC
Other - Prefix:
Other - First Name:GLORIANE
Other - Middle Name:BOND
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7817 NIKIS CROSSING
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304
Mailing Address - Country:US
Mailing Address - Phone:832-824-5353
Mailing Address - Fax:832-825-5241
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:STE 470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-824-5353
Practice Address - Fax:832-825-5241
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX610178363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144410101Medicaid
TX144410102Medicaid
TX144410102Medicaid