Provider Demographics
NPI:1710306584
Name:GLATT, MARSHA J (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:J
Last Name:GLATT
Suffix:
Gender:F
Credentials:RN
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Other - First Name:
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Mailing Address - Street 1:4050 BRIDGE VIEW DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-7488
Mailing Address - Country:US
Mailing Address - Phone:843-214-0682
Mailing Address - Fax:843-953-0081
Practice Address - Street 1:4050 BRIDGE VIEW DR
Practice Address - Street 2:SUITE 600
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-7488
Practice Address - Country:US
Practice Address - Phone:843-214-0682
Practice Address - Fax:843-953-0081
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC64942163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator