Provider Demographics
NPI:1023431400
Name:GLAZIER, NANCY ANN (LPN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:GLAZIER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SALMON MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:NY
Mailing Address - Zip Code:13142-2210
Mailing Address - Country:US
Mailing Address - Phone:315-298-2440
Mailing Address - Fax:
Practice Address - Street 1:26 SALMON MEADOW LN
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:NY
Practice Address - Zip Code:13142-2210
Practice Address - Country:US
Practice Address - Phone:315-298-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279501-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse