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
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95039588 (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.