Provider Demographics
NPI:1679769566
Name:GLORIUS, CATHY LOU (RN)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:LOU
Last Name:GLORIUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 JERICHO RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-9672
Mailing Address - Country:US
Mailing Address - Phone:513-405-1766
Mailing Address - Fax:
Practice Address - Street 1:89 JERICHO RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45697-9672
Practice Address - Country:US
Practice Address - Phone:513-405-1766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN255414163W00000X
KY1105294163W00000X
SCR87826163W00000X
FLRN9214959163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse