Provider Demographics
NPI:1801108931
Name:GLASGOW, JULIE MARIE (LPN)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARIE
Last Name:GLASGOW
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 1:5570 HILLSIDE AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-1548
Mailing Address - Country:US
Mailing Address - Phone:513-907-9557
Mailing Address - Fax:
Practice Address - Street 1:5570 HILLSIDE AVE
Practice Address - Street 2:APT 2
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1548
Practice Address - Country:US
Practice Address - Phone:513-907-9557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN055403164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse