Fisher-Glover, Odette D

Fisher-Glover, Odette D is an individual health care provider with primary practice located at 3700 Forest Dr Ste 200 , Columbia SC 29204-4010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fisher-Glover, Odette D can be contacted via phone (803) 219-4686.

Contact Information

Primary practice address
3700 Forest Dr Ste 200 Columbia SC 29204-4010
Phone: (803) 219-4686
Fax: (803) 973-6626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN1592 South Carolina

Profile Details

NPI number 1053398792
LBN Legal business name Fisher-Glover, Odette D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053398792 NPPES
South Carolina MEDICAID NP0579

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