Individual
MS. AUTUMN WHITNEY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007379
CO
Other
Enumeration date
06/08/2022
Last updated
10/06/2025
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