Individual
MISHA R. GLENDENING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
209 MAIN ST, EDDYVILLE, KY 42038-7752
(270) 388-0620
(270) 388-0604
Mailing address
1380 PARADISE RD, P.O. BOX 120, TILINE, KY 42083-9004
(270) 928-3196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1910P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78000692
—
KY
Enumeration date
07/12/2005
Last updated
05/19/2008
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