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General NPI Number Information
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NPI Number | 1851395743
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Entity Type | Individual
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Provider Name | JUDITH KAY GLANN ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1003 WILLOW CREEK RD
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City | PRESCOTT
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State | AZ
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Zip | 86301-1641
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Country | US
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Telephone | 928-773-0003
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Fax | 928-773-1170
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Provider Business Mailing Address
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Address Line | PO BOX 26335
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86312-6335
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Country | US
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Telephone | 206-556-9828
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 202100603NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP60271836
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 0387031
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 295295
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License Number State | AZ
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