Provider Demographics
NPI:1528207230
Name:GLASGOW, PATRICIA AVRIL (RN;NP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:AVRIL
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:RN;NP
Other - Prefix:
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Mailing Address - Street 1:325 E HILLCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-2405
Mailing Address - Country:US
Mailing Address - Phone:310-677-7172
Mailing Address - Fax:310-677-2658
Practice Address - Street 1:325 E HILLCREST BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-2405
Practice Address - Country:US
Practice Address - Phone:310-677-7172
Practice Address - Fax:310-677-2658
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA250140 /8200363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology