Individual
MS. GLENNA E. CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1583 CORONET DR, COLUMBUS, OH 43224-6201
(614) 554-1156
Mailing address
1583 CORONET DR, COLUMBUS, OH 43224-6201
(614) 554-1156
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN053864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2671541
—
OH
Enumeration date
04/01/2008
Last updated
04/01/2008
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