MEDICARE: MR. DAVID PETER GLENN PMHNP-BC, RN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0029457	OH
2	163W00000X	Registered Nurse	RN.401849	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1316491673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID PETER GLENN PMHNP-BC, RN

Provider Business Mailing Address
First Line	:	4770 INDIANOLA AVE STE 111
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-427-3205
Fax Number	:	727-677-0064

Provider Business Practice Location Address
First Line	:	4770 INDIANOLA AVE
Second Line	:	STE 111
City	:	COLUMBUS
State	:	OH
Zip	:	43214
Country	:	US
Telephone Number	:	614-427-3205
Fax Number	:	727-677-0064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2016
Last Update Date	:	12/10/2025

Similar Medicare Providers

1043899123 — CELESTE CANTWELL PA-C
Practice Location Address:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
43214-3908

Practice Phone: 614-262-6772
Practice Fax: 614-533-0162

1558890517 — CHASE HARDWICK NP
Practice Location Address:

3525 OLENTANGY RIVER RD STE 5300
COLUMBUS, OH
43214-3937

Practice Phone: 614-566-3500
Practice Fax: 614-533-0150

1902484082 — KEVIN PATRICK HOPKINS
Practice Location Address:

800 MCCONNELL DR
COLUMBUS, OH
43214-3463

Practice Phone: 614-566-5019
Practice Fax: 614-566-1901

1396609368 — BLUE RAY THERAPY LLC
Practice Location Address:

3600 OLENTANGY RIVER RD STE 104
COLUMBUS, OH
43214-3476

Practice Phone: 614-470-4015
Practice Fax:

1457399818 — DR. PRADHEEP J SHANKER M.D.
Practice Location Address:

3525 OLENTANGY RIVER RD , SUITE 5360
COLUMBUS, OH
43214-3937

Practice Phone: 614-340-7747
Practice Fax: 614-340-7742

1821875477 — ELEVATE HOME CARE
Practice Location Address:

41 CROSWELL RD
COLUMBUS, OH
43214-3062

Practice Phone: 614-538-1234
Practice Fax: 614-538-1236

Directions to “ MR. DAVID PETER GLENN PMHNP-BC, RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.