Individual
HOLLY MARIE GLANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
625 W MAIN ST, ARCADIA, WI 54612-1227
(608) 323-3210
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163555
WI
363LF0000X
Family Nurse Practitioner
6154
WI
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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