Individual provider · Type 1 NPI
Glenna Marie Hare, PNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1669771010
Active
Practice location
1 Childrens Pl, Div Surg Ped, Ste 2A
St. Louis, MO 63110-1002
Fax (866) 422-8308
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2011007616 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669771010
Glenna Marie Hare, PNP's National Provider Identifier is 1669771010, issued on Mar 24, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.