ZSUZSA GLASSCOCK


Address: 1128 Eagleridge Blvd, Pueblo, CO 81008-2103
Phone: 7197781414

ZSUZSA GLASSCOCK (NPI# 1083939474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083939474
Entity Type Individual
Full Name ZSUZSA GLASSCOCK
Credential FNP
Practice Address 1128 Eagleridge Blvd
Pueblo
CO 81008-2103
Mailing Address 1335 E Platteville Blvd
Pueblo West
CO 81007-1006
Practice Telephone 7197781414
Practice Fax Number 7196741000
Mailing Telephone 7195472155
Mailing Fax Number 7195472155
Enumeration Date 2010-03-29
Last Update Date 2019-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0600X Registered Nurse
Specialization: Gerontology
603265 NY Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
0992954 CO Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
339164 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 9000165641 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6908 Mesa Ridge Pkwy, Fountain, CO 808171533 7194712273 7193258971
2027 Columbia Dr, Pueblo, CO 810053279 7197781414

Office Location

Street Address 1128 EAGLERIDGE BLVD
City PUEBLO
State CO
Zip Code 81008-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497397657 Advanced Practice Health Clinic Clinic/Center 1128 Eagleridge Blvd, Pueblo, CO 81008-2103 2019-10-09
1013490259 Advanced Practice Headache and Primary Care Clinic Nurse Practitioner 1128 Eagleridge Blvd, Pueblo, CO 81008 2018-09-13
1821338211 Stacey Kay Molinar Nurse Practitioner 1128 Eagleridge Blvd, Pueblo, CO 81008-2103 2013-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164058913 Healthone Clinic Services - Oncology Hematology LLC Internal Medicine 3678 Parker Blvd, Pueblo, CO 81008 2020-03-12
1073026423 Carmel Community Living Corporation Respite Care 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 2017-11-08
1568987121 Hannah Vivian Roadruck Pharmacist 4200 Dillon Dr., Pueblo, CO 81008 2017-08-04
1184170425 Brett Burana Dentist 729 Us-50, Pueblo, CO 81008 2016-08-28
1760832885 Irby Dental Cottage Dental Hygienist 2099 West St # 50, Suite 180, Pueblo, CO 81008 2016-06-20
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1417327461 Nicole Betts Registered Nurse 1310 Fortino Blvd Ste D, Pueblo, CO 81008 2015-10-02
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
Find all providers in zip 81008

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932708872 Carla E Paredes Diaz Nurse Practitioner 2215 South Dr, Pueblo, CO 81008-1755 2020-10-21
1902435506 Brandi Lanae Trujillo Nurse Practitioner 3107 E Spaulding Ave Unit 202, Pueblo, CO 81008-5219 2020-04-06
1346883097 Parkview Ancillary Services Nurse Practitioner 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 2019-10-25
1326535618 Amanda Michelle Meade Nurse Practitioner 201 Lamkin St Apt 101, Pueblo, CO 81003-3558 2018-04-23
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1255865713 Ideal Family Medicine, Ltd Nurse Practitioner 2016 S Pueblo Blvd, Pueblo, CO 81005-2546 2017-04-11
1154861995 Jade Bryant Nurse Practitioner 1910 Lake Ave, Pueblo, CO 81004-3322 2017-02-27
1558811950 Jane Graham Nurse Practitioner 1225 N Grand Ave, Pueblo, CO 81003-2845 2016-10-10
1124397559 Michelle Leann Hartke Nurse Practitioner 1619 N Greenwood St Ste 208, Pueblo, CO 81003-2656 2011-12-14
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81008

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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