| Cynthia L Colglazier, NP | |
|
7 E Main St, Gosport, IN 47433-7034 | |
| (812) 879-4222 | |
| (812) 879-4834 |
| Full Name | Cynthia L Colglazier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7 E Main St, Gosport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619245909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003751 (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia L Colglazier, NP Po Box 1329, Bloomington, IN 47402-1329 Ph: (812) 879-4222 | Cynthia L Colglazier, NP 7 E Main St, Gosport, IN 47433-7034 Ph: (812) 879-4222 |
Sarah E Parker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 E Main St, Gosport, IN 47433 Phone: 812-879-4222 | |
Shila Ham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7149 State Highway 67, Gosport, IN 47433 Phone: 812-360-2414 | |
Mrs. Peggy Ann Walters, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 E Main St, Gosport, IN 47433 Phone: 812-879-4222 Fax: 812-879-4834 |