Glenn, Heather K

Glenn, Heather K is an individual health care provider with primary practice located at 400 Bald Hill Rd Ste 520 , Warwick RI 02886-1692. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Glenn, Heather K can be contacted via phone (401) 793-8520.

Contact Information

Primary practice address
400 Bald Hill Rd Ste 520 Warwick RI 02886-1692
Phone: (401) 793-8520
Fax: (401) 793-8527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00848 Rhode Island

Profile Details

NPI number 1952460636
LBN Legal business name Glenn, Heather K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Oct 19th, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952460636 NPPES
Rhode Island MEDICAID HG66412

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