Individual
AMY CATHERINE RAE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-5123
(614) 293-4890
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.023260
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023260
OH
Other
Enumeration date
09/05/2018
Last updated
10/17/2024
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