Individual
MRS. LEANNE C GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
(501) 552-8150
(501) 552-8199
Mailing address
16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
(501) 552-8150
(501) 552-8199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003820
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A003820
STATE APN LICENSE
AR
Enumeration date
02/14/2013
Last updated
12/29/2017
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