MR. GLEN WILLIS, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1326585902
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 310633-1 (NY) |
Frequently Asked Questions
NPI 1326585902 is the National Provider Identifier for MR. GLEN WILLIS, LPN, a Licensed Practical Nurse provider located in Coram, NY. This NPI was enumerated on January 20, 2017.
MR. GLEN WILLIS, LPN practices at 1807 RUGBY PL APT B, Coram, NY 11727.
Quick Facts
- NPI
- 1326585902
- Type
- Individual
- Enumerated
- Jan 20, 2017
- Last Updated
- Jan 20, 2017
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