Individual
CHRISTEN GLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
3001 N MAIN ST, SUITE 1C, PRESCOTT VALLEY, AZ 86314-1216
(928) 458-5470
(928) 458-5979
Mailing address
3001 N MAIN ST, SUITE 1C, PRESCOTT VALLEY, AZ 86314-1216
(928) 458-5470
(928) 458-5979
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3128
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374956
—
AZ
Enumeration date
09/10/2008
Last updated
09/10/2014
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