| Doctor Name: | MS. GLENDA M ALTENA |
| NPI Number: | 1013995919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A-55925 |
| Business Practice Address: | 1000 Lincoln Cir Se Suite 100 Orange City, IA - 510411862 |
| Business Phone Number: | 7127372000 |
| Business Fax Number: | 7127372115 |
| Mailing Address: | 1000 Lincoln Cir Se, Suite 100 ORANGE CITY |
| State: | IA |
| Postal Code: | 510411862 |
| Phone Number: | 7127372000 |
| Fax Number: | 7127372115 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 07/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-55925 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |