Provider Profile

Glade Southam, NP

Unclaimed Profile

About Glade Southam

Listed in the NPI registry as a nurse practitioner — family, Glade Southam, NP practices in Rexburg, ID. NPI 1588654628 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

ID licenceAs reported to the NPI registry
No. NP - 747AAs reported
NPINational Provider Identifier
1588654628Issued 2005

As reported to the NPI registry ↗

Common questions

What kind of doctor is Glade Southam?

Glade Southam is a nurse practitioner in Rexburg, ID. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

What is Glade Southam's address?

Glade Southam is listed at Byu - Idaho 100 Shc, Rexburg, ID 83460. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Glade Southam?

The number on file is (208) 496-1300. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Glade Southam's NPI number?

Glade Southam's National Provider Identifier is 1588654628. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Glade Southam been practicing?

Glade Southam has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Glade Southam confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Glade Southam. If this is you, claiming it is free.

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