Individual provider · Type 1 NPI

Glenn Crutchfield Slack

Student in an Organized Health Care Education/Training Program · Fort Collins, CO

NPI number 1023913506 Active

Practice location

502 W Lake Street
Fort Collins, CO 80523-0001

Call (970) 491-5991 Map

Mailing address

1570 Campus Delivery
Fort Collins, CO 80523-1570

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 1023913506

Glenn Crutchfield Slack's National Provider Identifier is 1023913506, issued on Oct 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Collins, CO. The record was last updated on Oct 13, 2026.