Provider Demographics
NPI:1326574138
Name:MCGLAMERY, CELESTE M (APRN)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:M
Last Name:MCGLAMERY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10200 W 105TH ST
Mailing Address - Street 2:#200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-5750
Mailing Address - Country:US
Mailing Address - Phone:913-495-9600
Mailing Address - Fax:913-599-0951
Practice Address - Street 1:10200 W 105TH ST
Practice Address - Street 2:#200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5750
Practice Address - Country:US
Practice Address - Phone:913-495-9600
Practice Address - Fax:913-599-0951
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS53-77270-022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner