Provider Demographics
NPI:1770026684
Name:ORR, GLENDA MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:MARIE
Last Name:ORR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3551 Q ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1657
Mailing Address - Country:US
Mailing Address - Phone:661-327-3747
Mailing Address - Fax:661-864-2235
Practice Address - Street 1:3551 Q ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1657
Practice Address - Country:US
Practice Address - Phone:661-327-3747
Practice Address - Fax:661-864-2235
Is Sole Proprietor?:No
Enumeration Date:2016-11-24
Last Update Date:2016-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005560363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily