Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLADE SOUTHAM, NP
ActiveGLADE SOUTHAM, NP is a Family Nurse Practitioner healthcare provider located in REXBURG, Idaho. NPI 1588654628 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · REXBURG, ID
Registration Details
- NPI Number
- 1588654628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.763741509601 yrs)
- Last Updated
- Oct 1, 2007
- License
-
NP - 747A (ID)
Practice Information
- Address
-
BYU - IDAHO100 SHCREXBURG, ID, 834602010Browse ID providers · Browse ZIP 83460
- Phone
- 2084961300
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| CAROL LADLE | F.N.P.-C | 1619044039 |
| NICHOLE ANN JEPPESEN | FNP-C | 1275794851 |
| REBECCA M. JEPPSON | FNP-C | 1033351895 |
| RACHELLE JONES | F.N.P.-C. | 1982830345 |
| BRYCE CAMPBELL | — | 1023417037 |
| TROY HANSON | NP | 1215471065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.