MRS. LARISSA MARIE GLOWINSKI (NPI# 1477100311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477100311 |
Entity Type | Individual |
Full Name | MRS. LARISSA MARIE GLOWINSKI |
Credential | CRNP |
Practice Address |
502 Vna Rd East Stroudsburg PA 18301-7965 |
Mailing Address |
206 E Brown St East Stroudsburg PA 18301-3006 |
Practice Telephone | 5704215390 |
Mailing Telephone | 5704214000 |
Enumeration Date | 2019-08-26 |
Last Update Date | 2019-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP020459 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP020459 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
502 VNA RD |
City | EAST STROUDSBURG |
State | PA |
Zip Code | 18301-7965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
Find all providers in zip 18301 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023353596 | Jonathan Rockfeld | Nurse Practitioner | 205 E Brown St, Hematology/oncology, East Stroudsburg, PA 18301-3006 | 2012-12-10 |
1245291434 | Alicia Simon | Nurse Practitioner | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
1922655059 | John Anthony Bacher IIi | Nurse Practitioner | 530 Spruce St, Clearfield, PA 16830-1943 | 2019-08-22 |
Find all providers with the same taxonomy |
City | EAST STROUDSBURG |
Zip Code | 18301 |
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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.