Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENDA PRUDENCIO, PA-C
ActiveGLENDA PRUDENCIO, PA-C is a Medical Physician Assistant healthcare provider located in GLENN DALE, Maryland. NPI 1902273584 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GLENN DALE, MD
Registration Details
- NPI Number
- 1902273584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2015 (10.916167712883 yrs)
- Last Updated
- Sep 20, 2019
- Licenses
-
0110-005091 (VA)C05930 (MD)
Practice Information
- Address
-
12150 ANNAPOLIS RD STE 308GLENN DALE, MD, 207699183Browse MD providers · Browse ZIP 20769
- Phone
- 3018050006
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in GLENN DALE, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. TATIA FORD JOHNSON | MPAS, PA-C | 1811146178 |
| EMMY L ESTRADA | PA-C | 1962971309 |
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.