Glover, Mary

Glover, Mary is an individual health care provider with primary practice located at 30 Northampton Street , Boston MA 02118-4010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Glover, Mary can be contacted via phone (617) 433-9601.

Contact Information

Primary practice address
30 Northampton Street Boston MA 02118-4010
Phone: (617) 433-9601
Fax: (617) 445-6538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 122517 Massachusetts

Profile Details

NPI number 1538136338
LBN Legal business name Glover, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Oct 22nd, 2015 - about 11 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 1538136338 NPPES
Massachusetts MEDICAID 0344711

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