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NPI Code Detail

MEDICARE: MS. SUSAN E GLENNY NP

MEDICARE: MS. SUSAN E GLENNY NP
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
1163W00000XRegistered NurseRN525413LPA
2363L00000XNurse PractitionerSP007624PA

General Provider Information

NPI Number : 1952315178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN E GLENNY NP
Provider Business Mailing Address
First Line : PO BOX 159
Second Line :
City : BARRINGTON
State : NJ
Zip : 08007-0159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 N KROCKS RD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18106-9283
Country : US
Telephone Number : 888-982-8594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/13/2024

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