Provider Demographics
NPI:1265664676
Name:KERSTEN, GLENNA E (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:GLENNA
Middle Name:E
Last Name:KERSTEN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:GLENNA
Other - Middle Name:
Other - Last Name:SLOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:499 E HAMPDEN AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3877
Mailing Address - Country:US
Mailing Address - Phone:303-744-3477
Mailing Address - Fax:303-733-5848
Practice Address - Street 1:499 E HAMPDEN AVE STE 350
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3877
Practice Address - Country:US
Practice Address - Phone:303-744-3477
Practice Address - Fax:303-733-5848
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10006363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology