Doctor Name: | GLENA HUSKEY |
NPI Number: | 1093859811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | L10014790 |
Business Practice Address: | 16359 Sussex Hwy Bridgeville, DE - 199332966 |
Business Phone Number: | 3023377990 |
Business Fax Number: | |
Mailing Address: | 16359 Sussex Hwy, BRIDGEVILLE |
State: | DE |
Postal Code: | 199332966 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | L10014790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |