Lykens, Glenda
Lykens, Glenda is an individual health care provider with primary practice located at 100 Nason Dr , Roaring Spring PA 16673-1201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Lykens, Glenda can be contacted via phone (814) 224-5132.Contact Information
Primary practice address
100 Nason Dr
Roaring Spring PA 16673-1201
Phone: (814) 224-5132
Fax: (814) 224-2903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP006988B | Pennsylvania |
Profile Details
| NPI number | 1083608863 |
|---|---|
| LBN Legal business name | Lykens, Glenda |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083608863 | NPPES |
| Pennsylvania | Other | SH928460 | HIGHMARK |
| Pennsylvania | MEDICAID | 0015716860011 | HIGHMARK |
| Pennsylvania | Other | 233901 | HIGHMARK |
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