IndividualActive
Mark Glasson
NPI 1164287686 · Registered Nurse First Assistant · Caledonia, IL
Provider details
- NPI number
- 1164287686
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041249330 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
7719 Bridlewood Rd
Caledonia, IL 61011-9011
Phone: (815) 222-9242
Approximate (ZIP-level) locationGet directions
Mailing address
7719 Bridlewood Rd
Caledonia, IL 61011-9011
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.