NPI 1013490259 · live from the CMS NPI Registry
Advanced Practice Headache And Primary Care Clinic
Nurse Practitioner, Family in Pueblo, CO. National Provider Identifier 1013490259, active.
NPI record
| NPI | 1013490259 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1128 Eagleridge Blvd, Pueblo, CO 81008 |
| Practice phone | 719-778-1414 |
| Enumerated | September 13, 2018 |
| Last updated | October 25, 2019 |
| Authorized official | Zsuzsa Glasscock, Business Owner |
| Other names | Zsuzsa Glasscock |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.