Ensweiler, Glenda

Ensweiler, Glenda is an individual health care provider with primary practice located at 1919 Lake Ave Ste 106 , Plymouth IN 46563-7830. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Obstetric, Inpatient. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ensweiler, Glenda can be contacted via phone (574) 335-5220.

Contact Information

Primary practice address
1919 Lake Ave Ste 106 Plymouth IN 46563-7830
Phone: (574) 335-5220
Fax: (574) 335-0859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5651 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006868A Indiana
Nursing Service Providers / Obstetric, Inpatient 163WX0003X RN-039913 Arizona

Profile Details

NPI number 1891043212
LBN Legal business name Ensweiler, Glenda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Jan 13th, 2026 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891043212 NPPES
Indiana MEDICAID 300057657

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