Individual
STEPHANIE DENISE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 E GREENVILLE ST STE 2500, ANDERSON, SC 29621
(864) 512-6810
(864) 224-1109
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-6810
(864) 224-1109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25951
SC
Other
Enumeration date
05/16/2022
Last updated
11/03/2022
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