Individual provider · Type 1 NPI
Nodeen Glen, AGPCNP-BC
Primary Care Nurse Practitioner · Bloomfield, NJ
NPI number
1801445994
Active
Practice location
208 Bloomfield Ave Apt 112
Bloomfield, NJ 07003-5795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NR15243600 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1801445994
Nodeen Glen, AGPCNP-BC's National Provider Identifier is 1801445994, issued on Sep 10, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bloomfield, NJ. The record was last updated on Sep 10, 2019.