Provider Demographics
NPI:1063224947
Name:GLOTFELTY, VICTORIA (LPN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:GLOTFELTY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 MOODY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-8132
Mailing Address - Country:US
Mailing Address - Phone:330-442-1483
Mailing Address - Fax:
Practice Address - Street 1:69 MAZE PLZ
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:WV
Practice Address - Zip Code:26143-5127
Practice Address - Country:US
Practice Address - Phone:304-598-6084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV33436164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse