Individual
MRS. GLENDA FAYE GANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14634 SAINT STEPHENS AVE, CHATOM, AL 36518-6711
(251) 847-6262
(251) 847-6277
Mailing address
PO BOX 1237, CHATOM, AL 36518-1237
(251) 847-6262
(251) 847-6277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-031341
AL
363L00000X
Nurse Practitioner
R856711
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051516689
MEDICARE ID
AL
05
—
529700760
—
AL
01
—
541003926
MEDICAID GROUP
AL
Enumeration date
07/29/2005
Last updated
02/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us