Ensweiler, Glenda

Ensweiler, Glenda is an individual health care provider with primary practice located at 1025 Widener Ln , South Bend IN 46614-3242. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Obstetric, Inpatient, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ensweiler, Glenda can be contacted via phone (574) 335-7600.

Contact Information

Primary practice address
1025 Widener Ln South Bend IN 46614-3242
Phone: (574) 335-7600
Fax: (574) 335-0734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Obstetric, Inpatient 163WX0003X RN-039913 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5651 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006868A Indiana

Profile Details

NPI number 1891043212
LBN Legal business name Ensweiler, Glenda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Nov 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891043212 NPPES
Indiana MEDICAID 300057657

Popular Providers