Provider Demographics
NPI:1104415439
Name:GLASPER, DANITRA B (MSN, AANP, APRN-CNP)
Entity type:Individual
Prefix:MS
First Name:DANITRA
Middle Name:B
Last Name:GLASPER
Suffix:
Gender:F
Credentials:MSN, AANP, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5407 PERSIMMON PASS
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4044
Mailing Address - Country:US
Mailing Address - Phone:281-667-6699
Mailing Address - Fax:
Practice Address - Street 1:5407 PERSIMMON PASS
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4044
Practice Address - Country:US
Practice Address - Phone:281-667-6699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1024854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1024854OtherFAMILY PRACTICE