Individual
ELIZABETH GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX4403
MD
363A00000X
Physician Assistant
Primary
C0009728
MD
Other
Enumeration date
06/26/2019
Last updated
03/03/2025
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