Individual
JUDITH KAY GLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 773-0003
(928) 773-1170
Mailing address
PO BOX 26335, PRESCOTT VALLEY, AZ 86312-6335
(206) 556-9828
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202100603NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
295295
AZ
363LA2100X
Acute Care Nurse Practitioner
AP60271836
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
0387031
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134107
—
AZ
05
—
1851395743
—
WA
Enumeration date
06/08/2005
Last updated
10/10/2025
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