Provider Demographics
NPI:1841322526
Name:GLASS QUATTRIN, NANCY M (RN)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:M
Last Name:GLASS QUATTRIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1824 N. 203RD STREET
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133
Mailing Address - Country:US
Mailing Address - Phone:206-629-4699
Mailing Address - Fax:888-972-9414
Practice Address - Street 1:1824 N. 203RD STREET
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-629-4699
Practice Address - Fax:888-972-9414
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN0004748163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics