Individual
MR. GLEN A SINKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, BC
Contact information
Practice address
4371 IRON MOUNTAIN BLF, ARNOLD, MO 63010-4370
(636) 464-7884
Mailing address
4371 IRON MOUNTAIN BLF, ARNOLD, MO 63010-4370
(636) 464-7884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429058902
—
MO
Enumeration date
07/14/2006
Last updated
05/16/2012
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