Provider Demographics
NPI:1013278522
Name:GLOVER, ALBERTHA (RN)
Entity type:Individual
Prefix:
First Name:ALBERTHA
Middle Name:
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 1:856 MCGARRH POND RD
Mailing Address - Street 2:
Mailing Address - City:SWAINSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30401-4108
Mailing Address - Country:US
Mailing Address - Phone:478-299-3192
Mailing Address - Fax:
Practice Address - Street 1:856 MCGARRH POND RD
Practice Address - Street 2:
Practice Address - City:SWAINSBORO
Practice Address - State:GA
Practice Address - Zip Code:30401-4108
Practice Address - Country:US
Practice Address - Phone:478-299-3192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2677647163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse