Individual
PATRICIA E GLYNN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGHLAND ST, STE 205, MILTON, MA 02186
(617) 696-2434
(617) 696-2435
Mailing address
100 HIGHLAND ST, STE 205, MILTON, MA 02186
(617) 696-2434
(617) 696-2435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
161360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701149
—
MA
01
—
NP4394
BCBS
MA
Enumeration date
02/14/2006
Last updated
07/08/2007
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