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Individual
GLENNA R ANDERSEN
Active
Individual
GLENNA R ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101038435
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101038435
VA LICENSE
—
01
—
0700360
UNHC
—
01
—
0919870001
CIGNA
—
01
—
240947
MDIPA/OPTIMUM
—
01
—
34300003
BCBS OF DC
—
01
—
4204387
AETNA
—
01
—
440156
ANTHEM
—
01
—
468150
AETNA HMO
—
01
—
49D0861486
CLIA
—
01
—
502418
NCPPO
—
01
—
540894297
PHCS
—
05
—
6254110
—
VA
Enumeration date
11/03/2005
Last updated
11/27/2023
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