Provider Demographics
NPI:1760134787
Name:GLOFF, CADI SUZANNE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:CADI
Middle Name:SUZANNE
Last Name:GLOFF
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:CADI
Other - Middle Name:SUZANNE
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:149 COUNTY ROAD 3270
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:TX
Mailing Address - Zip Code:76634-4598
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 POSEY AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TX
Practice Address - Zip Code:76634-1289
Practice Address - Country:US
Practice Address - Phone:254-675-8322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1068137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily