Individual provider · Type 1 NPI

Glenda Carol Gullion, RN BSN

General Practice Registered Nurse · Fort Wayne, IN

NPI number 1609057850 Active

Practice location

4402 E State Blvd
Fort Wayne, IN 46815-6917

Fax (260) 483-1911

Mailing address

12021 Shearwater Run
Fort Wayne, IN 46845-8719

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X28124124A (IN)
Oncology Registered Nurse 163WX0200X28124124A (IN)

General Practice Registered Nurse: Definition to come...

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About NPI 1609057850

Glenda Carol Gullion, RN BSN's National Provider Identifier is 1609057850, issued on Nov 15, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 15, 2007.