Individual
MR. BYRON CORRIE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
401 S. MAIN AVE, DEER PARK, WA 99006
(509) 434-0292
(509) 434-0285
Mailing address
203 N WASHINGTON ST, SUITE 300, SPOKANE, WA 99201-0233
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 60001347
WA
Other
Enumeration date
12/06/2006
Last updated
07/21/2011
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