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NPI Code Detail

MEDICARE: GLENN PHILIP TOWNSEND NP-C

MEDICARE: GLENN PHILIP TOWNSEND NP-C
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
1363LA2200XAdult Health Nurse PractitionerAP3724AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP8266AZ

General Provider Information

NPI Number : 1275845935
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN PHILIP TOWNSEND NP-C
Provider Business Mailing Address
First Line : 1840 N 95TH AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-4313
Country : US
Telephone Number : 623-234-9811
Fax Number : 623-234-9815
Provider Business Practice Location Address
First Line : 1840 N 95TH AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-4313
Country : US
Telephone Number : 623-234-9811
Fax Number : 623-234-9815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2010
Last Update Date : 08/08/2022

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Directions to “ GLENN PHILIP TOWNSEND NP-C” Practice Location

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