Tolley, Glenna Rae

Tolley, Glenna Rae is an individual health care provider with primary practice located at 646 Fm 517 Rd W , Dickinson TX 77539-3904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tolley, Glenna Rae can be contacted via phone (218) 218-7200.

Contact Information

Primary practice address
646 Fm 517 Rd W Dickinson TX 77539-3904
Phone: (218) 218-7200
Fax: (281) 218-7203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 462400 Texas

Profile Details

NPI number 1720254816
LBN Legal business name Tolley, Glenna Rae
Credentials RN FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2008
Last updated Jan 19th, 2016 - about 8 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 1720254816 NPPES
Texas MEDICAID 197009704
Texas Other 835N17
Texas Other P00885674

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