Most Relevant Information
Provider Data
| NPI Number: | 1003489808 |
| Provider Name: | HEATHER DAWN GLASKO-TULLY MSN, APRN, NP-C, FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN61898 |
Most Important Dates
| Enumeration Date: | 07/20/2021 |
| Last Updated: | 07/20/2021 |
Provider Practice Location
10003 WEBSTER RD
CAMDEN ON GAULEY
WV
262087713
Practice Location Phone/Fax
| Phone: | 3042265725 |
| Fax: |
Provider Mailing Location
1829 WEBSTER RD
SUMMERSVILLE
WV
266511031
Provider Mailing Phone/Fax
| Phone: | 3048726890 |
| Fax: |