person
Susan Louise Glasscock, PA
Emergency Clinical Nurse Specialist in Oakland, California
NPI 1518958834

Susan Louise Glasscock is a Emergency Clinical Nurse Specialist based in Modesto, CA and is specialized in Emergency. Susan Louise Glasscock practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Susan Louise Glasscock is 1518958834 and holds a License No. PA12320 (California).

The current practice location address for Susan Louise Glasscock is 1411 E 31St St, Oakland, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240.

Location: 1411 E 31St St, Oakland, CA, 95356-9262
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Provider Profile Details
NPI Number
1518958834
Provider Name
Susan Louise Glasscock
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1411 E 31St St, Oakland, CA, 95356-9262
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPA123200 05 CA
institution
Provider Business Practice Location Address Details
Address
1411 E 31St St
City
State
Zip
94602-1018
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
1411 E 31St St
City
State
Zip
94602-1018
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Emergency
Taxonomy
License No.
PA12320 (California)
Definition
Definition to come...
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