Individual
SANDRA HILLS GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8119 PICARDY AVE, BATON ROUGE, LA 70809-3515
(225) 765-3076
(225) 765-1076
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06302
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177869
—
LA
Enumeration date
06/14/2011
Last updated
01/08/2021
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