National Provider Identifier

Crystal Glenn, RN

Crystal Glenn, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 253-7204.

NPI 1801478599Buffalo, NYRegistered Nurse

Profile Overview

NPI
1801478599
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
April 22, 2021
Last Updated
April 22, 2021

Practice Location

  • 596 Saint Lawrence Ave
  • Buffalo, NY 14216-1513

Phone: (716) 253-7204

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1801478599
Entity Type
Individual
Last Name
Glenn
First Name
Crystal
Name Prefix
Mrs.
Credential
RN
Mailing Street Address
596 Saint Lawrence Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-1513
Mailing Country
US
Mailing Phone
(716) 253-7204
Practice Street Address
596 Saint Lawrence Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-1513
Practice Country
US
Practice Phone
(716) 253-7204
Enumeration Date
April 22, 2021
Last Updated
April 22, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
April 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)