Individual provider · Type 1 NPI

Olivia Glacken

Student in an Organized Health Care Education/Training Program · Orange, CT

NPI number 1003730078 Active

Practice location

400 W Campus Dr
Orange, CT 06477-3646

Mailing address

367 Orange St Apt 623
New Haven, CT 06511-6484

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003730078

Olivia Glacken's National Provider Identifier is 1003730078, issued on Aug 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CT. The record was last updated on Aug 4, 2026.