Individual provider · Type 1 NPI

Melanie Elaine Glennon, CRNP

Nurse Practitioner · Erie, PA

NPI number 1104175660 Active

Practice location

1910 Sassafras St, Suite 200
Erie, PA 16502-2716

Fax (814) 455-2628

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP012408 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104175660

Melanie Elaine Glennon, CRNP's National Provider Identifier is 1104175660, issued on Aug 30, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Erie, PA. The record was last updated on May 5, 2014.