Healthcare Provider Details

I. General information

NPI: 1245165174
Provider Name (Legal Business Name): GREGORY H GLASGOW PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 W ELIZABETH ST STE 102
HARRISONBURG VA
22802-3855
US

IV. Provider business mailing address

136 W ELIZABETH ST STE 102
HARRISONBURG VA
22802-3855
US

V. Phone/Fax

Practice location:
  • Phone: 540-564-5100
  • Fax:
Mailing address:
  • Phone: 540-564-5100
  • Fax: 844-305-4862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024197763
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: