Individual
MRS. GLENESE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 MOKYCHIC DRIVE, COLLEGEVILLE, PA 19426
(610) 409-7890
Mailing address
2995 POTSHOP RD, EAST NORRITON, PA 19403-3854
(215) 778-6311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029715
PA
363LP2300X
Primary Care Nurse Practitioner
SP029715
PA
Other
Enumeration date
05/29/2024
Last updated
12/31/2024
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