Individual
BRANDON E. GLISSMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 N 205TH ST, SHORELINE, WA 98133-3215
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN60652622
WA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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