Individual
MR. GLENFORD U GREENAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WASHINGTON AVE S STE 1210, MINNEAPOLIS, MN 55401-2511
(866) 492-5336
Mailing address
100 WASHINGTON AVE S STE 1210, MINNEAPOLIS, MN 55401-2511
(866) 492-5336
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP296673
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
05/13/2024
Last updated
11/10/2025
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