Cecileigh Glenn, RN
Individual provider Active NPI Registered Nurse · Yuma, CO
NPI 1487073086 · NPPES record last updated Apr 10, 2014
Key facts
- NPI
- 1487073086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0164667 (CO)
- Practice address
- 201 S Main St
Yuma, CO 80759-1915 - Phone
- (970) 848-5274
- Fax
- (970) 848-0357
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0164667 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Home Visitation Program | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0164667 | CO | Yes |
Addresses
Primary practice location
201 S Main St
Yuma, CO 80759-1915
Mailing address
201 S Main St
Yuma, CO 80759-1915
Phone (970) 848-5274
Other providers in Yuma, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2014. 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.