# MRS. MARY GLENN SHUART

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407904030
- **Gender:** F
- **Credential:** MSN, CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN560645 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP010760 | PA | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | 26NJ00137900 | NJ | — |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 09/22/2010