Individual
HEATHER K GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 BALD HILL RD STE 520, WARWICK, RI 02886-1692
(401) 793-8520
(401) 793-8527
Mailing address
400 BALD HILL RD STE 520, WARWICK, RI 02886-1692
(401) 793-8520
(401) 793-8527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00848
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HG66412
—
RI
Enumeration date
12/08/2006
Last updated
10/19/2020
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