GLADE SOUTHAM, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1588654628
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | NP - 747A (ID) |
Frequently Asked Questions
NPI 1588654628 is the National Provider Identifier for GLADE SOUTHAM, NP, a Nurse Practitioner - Family provider located in Rexburg, ID. This NPI was enumerated on October 27, 2005.
GLADE SOUTHAM, NP practices at BYU - IDAHO, 100 SHC, Rexburg, ID 83460.
Quick Facts
- NPI
- 1588654628
- Type
- Individual
- Enumerated
- Oct 27, 2005
- Last Updated
- Oct 1, 2007
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