Provider Demographics
NPI:1437954062
Name:GLAVAN, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GLAVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N WILBUR AVE # 1029
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-1549
Mailing Address - Country:US
Mailing Address - Phone:218-341-0894
Mailing Address - Fax:
Practice Address - Street 1:520 N WILBUR AVE # 1029
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1549
Practice Address - Country:US
Practice Address - Phone:218-341-0894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion