National Provider Identifier

Kathleen Zillner Glass, ANP-BC

Kathleen Zillner Glass, ANP-BC is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Fredonia, NY and a listed phone number of (716) 679-2233.

NPI 1275766651Fredonia, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1275766651
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
September 01, 2009
Last Updated
May 01, 2014

Practice Location

  • 12 Center St
  • Suite One
  • Fredonia, NY 14063-1769

Phone: (716) 679-2233

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1275766651
Entity Type
Individual
Last Name
Glass
First Name
Kathleen
Middle Name
Zillner
Name Prefix
MS.
Credential
ANP-BC
Mailing Street Address
12 Center St
Mailing Address Line 2
Suite One
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-1769
Mailing Country
US
Mailing Phone
(716) 679-2233
Mailing Fax
(716) 672-4163
Practice Street Address
12 Center St
Practice Address Line 2
Suite One
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1769
Practice Country
US
Practice Phone
(716) 679-2233
Practice Fax
(716) 672-4163
Enumeration Date
September 01, 2009
Last Updated
May 01, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)