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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | TX | 462400 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS TX | 835N17 | TX | 01 |
197009704 | TX | 05 | |
RR MCR | P00885674 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin