Individual
GLENDA PRUDENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12150 ANNAPOLIS RD STE 308, GLENN DALE, MD 20769-9183
(301) 805-0006
Mailing address
1440 CHANNING ST NE, WASHINGTON, DC 20018-2004
(301) 412-3702
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110-005091
VA
363AM0700X
Medical Physician Assistant
Primary
C05930
MD
Other
Enumeration date
08/30/2015
Last updated
09/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us