Provider Demographics
NPI:1922254390
Name:GLOVER, MARTISHA LORINDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARTISHA
Middle Name:LORINDA
Last Name:GLOVER
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 1:1210 CREEKLEDGE CT
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-6612
Mailing Address - Country:US
Mailing Address - Phone:330-541-2766
Mailing Address - Fax:
Practice Address - Street 1:1210 CREEKLEDGE CT
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-6612
Practice Address - Country:US
Practice Address - Phone:330-541-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.314286163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse