LAURA E GLASS, CRNP, Primary Care DEMOPOLIS, AL

Contact Information

LAURA E GLASS, CRNP

105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732-3605

Phone: 334-289-4000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for LAURA E GLASS · (Female)

NPI Number	`1124674031`
Status	Active
Credentials	CRNP (Certified Registered Nurse Practitioner)
Entity	Individual
Enumeration date	08/15/2019
Last updated	08/15/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	AL License # 1-144028
Hospital affiliation(s)	BRYAN W WHITFIELD MEMORIAL HOSPITAL INC - (Acute Care) 105 HIGHWAY 80 EAST DEMOPOLIS, AL 36732

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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