Individual
ANGELA L GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019005397
MO
363LF0000X
Family Nurse Practitioner
2019005397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019005397
FNP
MO
Enumeration date
03/04/2019
Last updated
07/21/2023
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