Individual provider · Type 1 NPI
Susan Glennon, NP-C
Adult Health Nurse Practitioner · Chantilly, VA
NPI number
1275978413
Active
Practice location
14121 Parke Long Ct, Suite 200 & 201
Chantilly, VA 20151-1647
Fax (800) 752-2471
Mailing address
14121 Sullyfield Circle, Suite 201
Chantilly, VA 20151-1647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 147439 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1275978413
Susan Glennon, NP-C's National Provider Identifier is 1275978413, issued on May 1, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chantilly, VA. The record was last updated on May 1, 2013.