Sheri Lynn Glaze in Avon - Nutrition, Pediatric
Sheri Lynn Glaze - NPI 1962523597
Sheri Lynn Glaze is a Nutrition, Pediatric in Avon, Indiana. Sheri Lynn Glaze practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Sheri Lynn Glaze is 1962523597. The last update date is 2007-07-08.
Sheri Lynn Glaze's current location address is 1644 Rudgate Dr, Avon, Indiana. You can contact this provider via phone number 3172721952 and fax number 3172721953. The mailing address for Sheri Lynn Glaze is 1644 Rudgate Dr, Avon, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheri Lynn Glaze |
|---|---|
| Address | 1644 Rudgate Dr, Avon, Indiana |
| Phone Number | 3172721952 |
| Fax Number | 3172721953 |
| Sole Proprietor | Y |
| Credentials | R.D.C.D. |
NPI Number Detail
| NPI Number | 1962523597 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1644 Rudgate Dr |
|---|---|
| City | Avon |
| State | Indiana (IN) |
| Post Code | 461238408 |
| Phone Number | 3172721952 |
| Fax Number | 3172721953 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 723647 |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Sheri Lynn Glaze?
The Sheri Lynn Glaze has been issued the NPI (National Provider Identifier) 1962523597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Sheri Lynn Glaze's physical address?
The Sheri Lynn Glaze is physically located at 1644 Rudgate Dr, in the city of Avon, IN, with the postal code 461238408.
What is Sheri Lynn Glaze's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sheri Lynn Glaze is Nutrition, Pediatric, and the taxonomy code that categorizes this field of expertise is 133Vn1004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962523597 to Sheri Lynn Glaze?
The Centers for Medicare & Medicaid Services originally issued the 1962523597 to Sheri Lynn Glaze on 2007-04-02.
When was the information related to Sheri Lynn Glaze most recently updated or refreshed?
The details pertaining to the Sheri Lynn Glaze, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.