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MS. GLENNA RAE TOLLEY RN FNP-C

Nursing Yellow Pages

Dickinson, Texas

Provider NPI: 1720254816

Provider Information:
MS. GLENNA RAE TOLLEY RN FNP-C


Practice Location:
646 FM 517 RD W  DICKINSON, TX 77539 US
Tel: 218-218-7200  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
TX462400

Other Provider Identifiers:

IssuerNumberStateType
BCBS TX835N17TX01
197009704TX05
RR MCRP00885674TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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