Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lavern Angela Glave, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1568768216

Lavern Angela Glave, ANP is a Nurse Practitioner in Middletown, New York. Qualified in 2020, 6 years ago. Practices with Middletown Medical PC, a 177-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

3 Park Circle Dr
Middletown, NY 10940-2945
Phone: (914) 843-6424
Fax: (845) 341-1032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 495182-1 (NY)

Record details

NPI number1568768216
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedJanuary 27, 2011
Last updated in NPPESJanuary 27, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Middletown Medical Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown