Provider Demographics
NPI:1578685400
Name:GLASER, KATHLEEN MARY THOMAS (NP)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARY THOMAS
Last Name:GLASER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:QUALITY IMPROVEMENT US DEPT OF STATE
Mailing Address - Street 2:2401 E STREET NW M MED QI, SA-1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20522-0001
Mailing Address - Country:US
Mailing Address - Phone:202-663-2453
Mailing Address - Fax:202-663-3247
Practice Address - Street 1:QUALITY IMPROVEMENT US DEPT OF STATE
Practice Address - Street 2:2401 E STREET NW M MED QI, SA-1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0001
Practice Address - Country:US
Practice Address - Phone:202-663-2453
Practice Address - Fax:202-663-3247
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0024101294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily