Mcconnell, Glenda Ann

Mcconnell, Glenda Ann is an sole proprietor health care provider with primary practice located at 1496 Bellevue St Suite 101, Green Bay WI 54311-4205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mcconnell, Glenda Ann can be contacted via phone (920) 784-2644.

Contact Information

Primary practice address
1496 Bellevue St Suite 101 Green Bay WI 54311-4205
Phone: (920) 784-2644
Fax: (920) 784-2655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2515-033 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 2515-033 Wisconsin

Profile Details

NPI number 1316011653
LBN Legal business name Mcconnell, Glenda Ann
Credentials PMHNP, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Mar 7th, 2023 - about 2 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 1316011653 NPPES
Wisconsin Other 2515-033 ADVANCED PRACTICE NURSE PRESCRIBER
Wisconsin MEDICAID 43600000 ADVANCED PRACTICE NURSE PRESCRIBER
Wisconsin Other 391047205011 ADVANCED PRACTICE NURSE PRESCRIBER

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