Glade Southam, NP
NPI #1588654628 in Rexburg, Idaho
Provider Information
- NPI Number
- 1588654628
- Entity Type
- Individual
- Name
- Glade Southam, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Oct 27, 2005
- Last Updated
- Oct 1, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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