Gloria Jean Fader, LPN is a
Licensed Practical Nurse based in Alger, Michigan. Gloria Jean Fader is licensed to practice in Michigan (license number 4703065206) and her current practice location is
1561 M 30, Alger, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 965-5123.
NPI number for Gloria Jean Fader is 1659838183 and her current mailing address is 1561 M 30, Alger, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659838183.
Provider's Profile
Full Name | Gloria Jean Fader |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1561 M 30, Alger, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659838183
- Provider Enumeration Date: 02/20/2019
- Last Update Date: 02/20/2019
Medical Identifiers
Medical identifiers for Gloria Jean Fader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659838183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703065206 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria Jean Fader is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gloria Jean Fader, LPN 1561 M 30, Alger, MI 48610-8538 Ph: (989) 965-5123 | Gloria Jean Fader, LPN 1561 M 30, Alger, MI 48610-8538 Ph: (989) 965-5123 |
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