| Nancy Glover, NP | |
|
46 Jordan Ave, South Portland, ME 04106-4704 | |
| (207) 542-2788 | |
| Not Available |
| Full Name | Nancy Glover |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 46 Jordan Ave, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659890473 | NPI | - | NPPES |
| CNP171146 | Other | ME | MAINE STATE BOARD OF NURSING |
| 082472-23 | Other | NH | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 082472-23 (New Hampshire) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP171146 (Maine) | Primary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Healthreach Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841263118 PECOS PAC ID: 5496726523 Enrollment ID: O20050107000482 |
| Entity Name | Healthreach Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164496410 PECOS PAC ID: 5496726523 Enrollment ID: O20050201000568 |
| Entity Name | Healthreach Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922071745 PECOS PAC ID: 5496726523 Enrollment ID: O20050830000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Glover, NP 46 Jordan Ave, South Portland, ME 04106-4704 Ph: () - | Nancy Glover, NP 46 Jordan Ave, South Portland, ME 04106-4704 Ph: (207) 542-2788 |