Doctor Name: | CINDY J GLENNIE |
NPI Number: | 1639151889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP |
License Number: | R 148916-7 |
Business Practice Address: | 800 West Ave South Lacrosse, WI - 54601 |
Business Phone Number: | 6083929875 |
Business Fax Number: | 6083924163 |
Mailing Address: | 800 West Ave South, LACROSSE |
State: | WI |
Postal Code: | 54601 |
Phone Number: | 6083929875 |
Fax Number: | 6083924163 |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R 148916-7 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |