Crystal Lynn Glenn in Newark - Licensed Practical Nurse
Crystal Lynn Glenn - NPI 1689751190
Crystal Lynn Glenn is a Licensed Practical Nurse in Newark, Ohio. Crystal Lynn Glenn practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Crystal Lynn Glenn is 1689751190. The last update date is 2007-07-09.
Crystal Lynn Glenn's current location address is 952 W Main St, Newark, Ohio. You can contact this provider via phone number 7403449289. The mailing address for Crystal Lynn Glenn is 952 W Main St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Lynn Glenn |
|---|---|
| Address | 952 W Main St, Newark, Ohio |
| Phone Number | 7403449289 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1689751190 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 952 W Main St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430552526 |
| Phone Number | 7403449289 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 111657-ME |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2683798 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Crystal Lynn Glenn?
The Crystal Lynn Glenn has been issued the NPI (National Provider Identifier) 1689751190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Crystal Lynn Glenn located?
The Crystal Lynn Glenn is located at 952 W Main St, Newark, OH 430552526.
What is Crystal Lynn Glenn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crystal Lynn Glenn's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Crystal Lynn Glenn receive the assignment of its 1689751190 from the Centers for Medicare & Medicaid Services?
The Crystal Lynn Glenn was issued its 1689751190 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Crystal Lynn Glenn most recently updated or revised?
The details related to Crystal Lynn Glenn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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