Provider Demographics
NPI:1063905347
Name:GLASKER, DREXZELL LAANNE (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:DREXZELL
Middle Name:LAANNE
Last Name:GLASKER
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:DR
Other - First Name:DREXZELL
Other - Middle Name:LAANNE
Other - Last Name:GLASKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, FNP
Mailing Address - Street 1:7350 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6427
Mailing Address - Country:US
Mailing Address - Phone:520-565-1468
Mailing Address - Fax:888-440-6138
Practice Address - Street 1:7350 E 22ND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6427
Practice Address - Country:US
Practice Address - Phone:520-849-5493
Practice Address - Fax:520-336-9174
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009107363LF0000X
AZ279012363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care