Provider Demographics
NPI:1760627095
Name:GLOVER, JOY (CNM)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:GLOVER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35000 FORD RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3719
Mailing Address - Country:US
Mailing Address - Phone:734-721-4700
Mailing Address - Fax:734-721-9186
Practice Address - Street 1:35000 FORD RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3719
Practice Address - Country:US
Practice Address - Phone:734-721-4700
Practice Address - Fax:734-721-9186
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704107060367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife