Individual
MELANIE ELAINE GLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1910 SASSAFRAS ST, SUITE 200, ERIE, PA 16502-2716
(814) 452-7879
(814) 455-2628
Mailing address
1910 SASSAFRAS ST, SUITE 200, ERIE, PA 16502-2716
(814) 452-7879
(814) 455-2628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012408
PA
Other
Enumeration date
08/30/2012
Last updated
05/05/2014
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