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Katherine Marie Glass
Family Nurse Practitioner in Gypsum, Colorado
NPI 1407408388

Katherine Marie Glass is a Family Nurse Practitioner based in New Castle, CO and is specialized in Family. Katherine Marie Glass practices in Gypsum, CO. The NPI Number for Katherine Marie Glass is 1407408388 and holds a License No. 0994749 (Colorado).

The current practice location address for Katherine Marie Glass is 35 Lindbergh Dr Unit 110, Gypsum, CO and can be reached out via phone at 970-431-2871.

Location: 35 Lindbergh Dr Unit 110, Gypsum, CO, 81647-9476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407408388
Provider Name
Katherine Marie Glass
Credential
Provider Entity Type
Individual
Gender
Female
Address
35 Lindbergh Dr Unit 110, Gypsum, CO, 81647-9476
Phone Number
970-431-2871
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0994749 01 CO COLORADO APN LICENSE
institution
Provider Business Practice Location Address Details
Address
35 Lindbergh Dr Unit 110
City
Gypsum
State
Colorado
Zip
81637-5461
Phone Number
970-431-2871
Fax Number
person
Provider Business Mailing Address Details
Address
35 Lindbergh Dr Unit 110
City
Gypsum
State
Colorado
Zip
81637-5461
Phone Number
970-431-2871
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0994749 (Colorado)
Definition
Definition to come...
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