Provider Demographics
NPI:1013995919
Name:ALTENA, GLENDA M (ARNP)
Entity Type:Individual
Prefix:MS
First Name:GLENDA
Middle Name:M
Last Name:ALTENA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:1000 LINCOLN CIR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1862
Mailing Address - Country:US
Mailing Address - Phone:712-737-2000
Mailing Address - Fax:712-737-2115
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-2000
Practice Address - Fax:712-737-2115
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA-55925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA21897OtherSIOUX VALLEY HEALTH PLAN
IA0634626Medicaid
IA0117542OtherUNITED HEALTH CARE
IA0117542OtherMEDICA
IA426038405OtherCIGNA
IA426038405OtherRYAN WHITE TITLE III PROG
IA0037820Medicaid
IA426038405OtherCONNECTICUT GENERAL
IA426038405OtherEQUITABLE LIFE & CASUALTY
IA6659OtherMIDLANDS CHOICE
IA703361023648OtherPREFERRED ONE
IA21897OtherSIOUX VALLEY HEALTH PLAN
IA426038405OtherCIGNA