Provider Demographics
NPI:1447740642
Name:GLIDDEN, RACHEL S (APRN-C)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:S
Last Name:GLIDDEN
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:S
Other - Last Name:DURHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4321 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2131
Mailing Address - Country:US
Mailing Address - Phone:402-562-7500
Mailing Address - Fax:402-564-0611
Practice Address - Street 1:4321 41ST AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2131
Practice Address - Country:US
Practice Address - Phone:402-562-7500
Practice Address - Fax:402-564-0611
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-78190363LF0000X
NE112519363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily