Most Relevant Information
Provider Data
| NPI Number: | 1003043118 |
| Provider Name: | LYDIA GLAUDE PHD, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 839669 |
Most Important Dates
| Enumeration Date: | 06/16/2009 |
| Last Updated: | 08/23/2022 |
Provider Practice Location
2662 W HORIZON RIDGE PKWY
HENDERSON
NV
890522844
Practice Location Phone/Fax
| Phone: | 7026169660 |
| Fax: |
Provider Mailing Location
2662 W HORIZON RIDGE PKWY
HENDERSON
NV
890522844
Provider Mailing Phone/Fax
| Phone: | 7026169660 |
| Fax: |