Provider Demographics
NPI:1871793182
Name:GLASS, EUGENIA L (RN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:L
Last Name:GLASS
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:221 13TH AVENUE PL NW
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2596
Mailing Address - Country:US
Mailing Address - Phone:828-324-1911
Mailing Address - Fax:828-324-9526
Practice Address - Street 1:221 13TH AVENUE PL NW
Practice Address - Street 2:SUITE 202
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2596
Practice Address - Country:US
Practice Address - Phone:828-324-1911
Practice Address - Fax:828-324-9526
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201799363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily