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Individual

MICAH ERIN GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
1661 STATE ROUTE 522, WHEELERSBURG, OH 45694-8120
(740) 574-1770
(740) 574-8781
Mailing address
1661 STATE ROUTE 522, WHEELERSBURG, OH 45694-8120
(740) 574-1770
(740) 574-8781

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP.026039
OH

Other

Enumeration date
12/18/2019
Last updated
11/23/2020
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