Individual
KRISTINE MARIE MCGLENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, DNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61185765
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61185765
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144855354
—
WA
Enumeration date
03/08/2020
Last updated
06/15/2021
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