Individual
ALITHA V GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MICHIGAN, 19259 LINVILLE ST, GROSSE POINTE WOODS, MI 48236
(248) 346-6959
Mailing address
MICHIGAN, 19259 LINVILLE ST, GROSSE POINTE WOODS, MI 48236
(248) 346-6959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704281299
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704281299
MI
Other
Enumeration date
07/26/2023
Last updated
05/07/2026
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