Provider Demographics
NPI:1669663084
Name:GLAZIER, LINDA OLIVIA (NP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:OLIVIA
Last Name:GLAZIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3272 FORTUNE CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-7847
Mailing Address - Country:US
Mailing Address - Phone:530-888-1118
Mailing Address - Fax:530-888-8832
Practice Address - Street 1:3272 FORTUNE CT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-7847
Practice Address - Country:US
Practice Address - Phone:530-888-1118
Practice Address - Fax:530-888-8832
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA355525363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1440OtherNPF
CA355525OtherNP
CA355525OtherNP