Misty D. Glenn FNP-C

NPI 1033501374 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1033501374
Gender Female
Enumeration Date 02/24/2015
Last Updated 04/27/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
SPRINGFIELD MO, 65804-2203, US
Phone (417) 820-2600
Fax (417) 820-2100
Business Location
PO BOX 505164
SAINT LOUIS MO, 63150-5164, US
Phone (417) 829-4620
Taxonomy Code 363L00000X
License State Missouri
License Number 2015005078
Remove 1033501374 NPI Number

According to our database, Misty D. Glenn FNP-C NPI is 1033501374, taxonomy code is 363L00000X and license number is 2015005078, license state is located at Missouri. Misty D. Glenn FNP-C physically located at 1235 E Cherokee St, Springfield MO, 65804-2203. NPI Number Misty D. Glenn FNP-C has the Individual type.

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1033501374 NPI number is provided on an as is basis without warranty of any kind. 1033501374 is maintained by the National Plan & Provider Enumeration System. The contents of Misty D. Glenn FNP-C are for informational purposes only.