Provider Demographics
NPI:1801451133
Name:GRIER, GLENNDA YVONNE (ARNP-CNP)
Entity type:Individual
Prefix:
First Name:GLENNDA
Middle Name:YVONNE
Last Name:GRIER
Suffix:
Gender:F
Credentials:ARNP-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:RANCHESTER
Mailing Address - State:WY
Mailing Address - Zip Code:82839-0486
Mailing Address - Country:US
Mailing Address - Phone:307-752-6440
Mailing Address - Fax:
Practice Address - Street 1:222 US HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:RANCHESTER
Practice Address - State:WY
Practice Address - Zip Code:82839-2736
Practice Address - Country:US
Practice Address - Phone:307-752-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY43550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily