Glennan, Christen

Glennan, Christen is an individual health care provider with primary practice located at 3001 N Main St Suite 1C, Prescott Valley AZ 86314-1216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Glennan, Christen can be contacted via phone (928) 458-5470.

Contact Information

Primary practice address
3001 N Main St Suite 1C Prescott Valley AZ 86314-1216
Phone: (928) 458-5470
Fax: (928) 458-5979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3128 Arizona

Profile Details

NPI number 1417106824
LBN Legal business name Glennan, Christen
Credentials RN, MS, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Sep 10th, 2014 - about 12 years 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 1417106824 NPPES
Arizona MEDICAID 374956

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