ANGELA L GLENN (NPI# 1407314990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407314990 |
| Entity Type | Individual |
| Full Name | ANGELA L GLENN |
| Practice Address |
109 Eldorado Dr Moscow Mills MO 63362-1401 |
| Practice Telephone | 6366997070 |
| Mailing Telephone | 6366997070 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019005397 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | FNP | 2019005397 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4055 Valley View Ln, Dallas, TX 752445074 | 6366997070 |
| Street Address |
109 ELDORADO DR |
| City | MOSCOW MILLS |
| State | MO |
| Zip Code | 63362-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750530820 | Angela Rose Marty | Physical Therapist | 115 W Port Au Prince Ln, Moscow Mills, MO 63362-1056 | 2008-09-15 |
| 1427126242 | A & B Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 444 Gracie Ln, Moscow Mills, MO 63362-1142 | 2006-12-01 |
| 1861880361 | Jet Therapy LLC | Physical Therapist | 14 Freise Industrial Dr, Moscow Mills, MO 63362-1156 | 2015-01-06 |
| 1770121840 | Emily Kothe | Physical Therapist | 14 Freise Industrial Dr, Moscow Mills, MO 63362-1156 | 2019-12-19 |
| 1992160881 | Ryan Schneider | Specialist/Technologist | 14 Freise Industrial Dr, Moscow Mills, MO 63362-1156 | 2015-12-21 |
| 1447779848 | Doctors Pharmacy of Moscow Mills | Pharmacy | 244 College Campus Dr, Moscow Mills, MO 63362-1176 | 2017-09-18 |
| 1255473864 | Brett Ashley Winchester | Chiropractor | 40 Walter Ct, Moscow Mills, MO 63362-1197 | 2007-02-12 |
| 1255742011 | Austin Panter | Chiropractor | 40 Walter Ct, Moscow Mills, MO 63362-1197 | 2014-05-14 |
| 1568661080 | Winchester Chiropractic, P.C. | Chiropractor | 40 Walter Ct, Moscow Mills, MO 63362-1197 | 2007-07-13 |
| 1326180951 | Matthew Thomas Hilgefort | Chiropractor | 40 Walter Ct, Moscow Mills, MO 63362-1197 | 2007-02-12 |
| Find all providers in zip 63362 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MOSCOW MILLS |
| Zip Code | 63362 |
Please comment or provide details below to improve the information on ANGELA L GLENN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.