Wendy Kay Glass, REGISTERED NURSE
Individual provider Active NPI Personal Care Attendant · Clearbrook, MN
NPI 1225549199 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1225549199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 221 3Rd Ave SW
Clearbrook, MN 56634-4241 - Phone
- (218) 776-3508
- Fax
- (218) 776-3507
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
221 3Rd Ave SW
Clearbrook, MN 56634-4241
Mailing address
PO Box 183
Clearbrook, MN 56634-4241
Phone (218) 776-3508
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1440614 | Other | MN | RN LICENSE NUMBER |
Other providers in Clearbrook, MN
- Clearbrook Dental Clinic, LTD
- Clearbrook-Gonvick Isd #2311
- Clearwater County Memorial Hospital
- Roxanne Engebretson
- Sheila Erickson
- Home at Heart Care, Inc.
- June Johnson
- Terri Leona Nelson
- Roberta Otting
- Alicia Pataky
All providers in Clearbrook, MN · Personal Care Attendant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.