Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMMY LYNNE GLIDEWELL, RN
Active Sole ProprietorTAMMY LYNNE GLIDEWELL, RN is a Registered Nurse healthcare provider located in MULLAN, Idaho. NPI 1154664365 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · MULLAN, ID
Registration Details
- NPI Number
- 1154664365
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2013 (13.393115620525 yrs)
- Last Updated
- Jan 14, 2020
- License
-
RN00114868 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
439 2ND STREETMULLAN, ID, 83846Browse ID providers · Browse ZIP 83846
- Phone
- 5094682542
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.