Provider Demographics
NPI:1588473052
Name:GLASS, MADELINE (NP)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:GLASS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:5445 DTC PKWY STE 1130
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3038
Mailing Address - Country:US
Mailing Address - Phone:720-749-5599
Mailing Address - Fax:720-925-5897
Practice Address - Street 1:10807 NEW ALLEGIANCE DR STE 160
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3805
Practice Address - Country:US
Practice Address - Phone:719-249-3547
Practice Address - Fax:720-925-5897
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2025-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.1000375363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care