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NPI Code Detail

MEDICARE: PATRICIA A GLEUE ARNP

MEDICARE:   PATRICIA A GLEUE  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist74803KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467423244
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A GLEUE ARNP
Provider Business Mailing Address
First Line : 11257 S AUBURN RD
Second Line :
City : CARBONDALE
State : KS
Zip : 66414-9257
Country : US
Telephone Number : 785-554-5284
Fax Number :
Provider Business Practice Location Address
First Line : 5040 SW 28TH ST STE B
Second Line :
City : TOPEKA
State : KS
Zip : 66614-2302
Country : US
Telephone Number : 785-554-5284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 05/16/2023

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Directions to “ PATRICIA A GLEUE ARNP” Practice Location

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