Provider Demographics
NPI:1205818572
Name:ALLBRITTON, GLENNA (RN,MSN,CFNP)
Entity Type:Individual
Prefix:
First Name:GLENNA
Middle Name:
Last Name:ALLBRITTON
Suffix:
Gender:F
Credentials:RN,MSN,CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BIRCHWOOD AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1704
Mailing Address - Country:US
Mailing Address - Phone:360-676-1611
Mailing Address - Fax:360-671-5362
Practice Address - Street 1:500 BIRCHWOOD AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1704
Practice Address - Country:US
Practice Address - Phone:360-676-1611
Practice Address - Fax:360-671-5362
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60379570363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8927223Medicare PIN
LA1438375Medicaid
LA4B748Medicare ID - Type Unspecified