Provider Demographics
NPI:1578297321
Name:GLUSICH, LAURA GUINNESS (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:GUINNESS
Last Name:GLUSICH
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 SADDLEHORN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5720
Mailing Address - Country:US
Mailing Address - Phone:419-346-1756
Mailing Address - Fax:
Practice Address - Street 1:7450 HOSPITAL DR STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-2208
Practice Address - Country:US
Practice Address - Phone:614-659-9519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031745363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health