Individual provider · Type 1 NPI
Kyle Glass, CRNP, RN
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1467209833
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Fax (215) 349-8444
Mailing address
3400 Civic Center Blvd Fl 2
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP029201 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1467209833
Kyle Glass, CRNP, RN's National Provider Identifier is 1467209833, issued on May 3, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 21, 2025.