Pedersen, Glendon Arly
Pedersen, Glendon Arly is an individual health care provider with primary practice located at 440 N Paiute Dr , Cedar City UT 84721-6181. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Pedersen, Glendon Arly can be contacted via phone (435) 867-1520.Contact Information
Primary practice address
440 N Paiute Dr
Cedar City UT 84721-6181
Phone: (435) 867-1520
Fax: (435) 867-2658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Health Information | 247000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 5581789-4405 | Utah |
Profile Details
| NPI number | 1942591441 |
|---|---|
| LBN Legal business name | Pedersen, Glendon Arly |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2011 |
| Last updated | Jun 8th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942591441 | NPPES |
| Utah | Other | 5581789-4405 | UTAH STATE LICENSE |
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