MR. Byron Corrie Glenn, NURSE PRACTITIONER
NPI #1578622817 in Deer Park, Washington
Provider Information
- NPI Number
- 1578622817
- Entity Type
- Individual
- Name
- MR. Byron Corrie Glenn, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Jul 21, 2011
Practice Location
- Address
- 401 S. MAIN AVE
- City
- Deer Park
- State
- Washington
- ZIP Code
- 99006
- Phone
- (509) 434-0292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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