Individual
TRACEY ANN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1305 HAINS AVENUE, RICHLAND, WA 99354
(509) 366-6107
(509) 946-7162
Mailing address
1305 HAINS AVENUE, RICHLAND, WA 99354
(509) 366-6107
(509) 946-7162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00152763
WA
363L00000X
Nurse Practitioner
Primary
AP30008011
WA
Other
Enumeration date
03/17/2009
Last updated
03/05/2019
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