Individual provider · Type 1 NPI

Glenn Bantigue, NP

Acute Care Nurse Practitioner · Los Altos, CA

NPI number 1689504318 Active

Practice location

4546 El Camino Real Ste B10
Los Altos, CA 94022-1069

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X95039588 (CA)

Acute Care Nurse Practitioner: Definition to come...

About NPI 1689504318

Glenn Bantigue, NP's National Provider Identifier is 1689504318, issued on May 22, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Altos, CA. The record was last updated on May 22, 2026.