Glenna Rae Tolley is a Family in Dickinson, Texas. Glenna Rae Tolley practices all healthcare services and medical treatments related to Family. The NPI Number for Glenna Rae Tolley is 1720254816. The last update date is 2016-01-19.
Glenna Rae Tolley's current location address is 646 Fm 517 Rd W, Dickinson, Texas. You can contact this provider via phone number 2182187200 and fax number 2812187203. The mailing address for Glenna Rae Tolley is 646 Fm 517 Rd W, Dickinson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenna Rae Tolley |
|---|---|
| Address | 646 Fm 517 Rd W, Dickinson, Texas |
| Phone Number | 2182187200 |
| Fax Number | 2812187203 |
| Sole Proprietor | N |
| Credentials | RN FNP-C |
NPI Number Detail
| NPI Number | 1720254816 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2016-01-19 |
Provider Mailing Address Detail
| Address | 646 Fm 517 Rd W |
|---|---|
| City | Dickinson |
| State | Texas (TX) |
| Post Code | 775393904 |
| Phone Number | 2182187200 |
| Fax Number | 2812187203 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 462400 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197009704 | TX | -- | |
| 835N17 | TX | BCBS TX | |
| P00885674 | TX | RR MCR |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Glenna Rae Tolley by the Centers for Medicare & Medicaid Services?
The Glenna Rae Tolley has been assigned the NPI (National Provider Identifier) 1720254816 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Glenna Rae Tolley is located?
The Glenna Rae Tolley is situated at the following address: 646 Fm 517 Rd W, Dickinson, TX, 775393904.
What is the area of specialization for Glenna Rae Tolley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glenna Rae Tolley is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Glenna Rae Tolley receive the assignment of its 1720254816 from the Centers for Medicare & Medicaid Services?
The Glenna Rae Tolley was issued its 1720254816 by the Centers for Medicare & Medicaid Services on 2008-05-08.
As of what date were the Glenna Rae Tolley's details last updated?
The information pertaining to the Glenna Rae Tolley, including its address, specialty, and other details, was most recently updated on 2016-01-19.