Most Relevant Information
Provider Data
| NPI Number: | 1003559808 |
| Provider Name: | BETH MARILYN GLENN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 2007017725 |
Most Important Dates
| Enumeration Date: | 04/19/2022 |
| Last Updated: | 11/24/2023 |
Provider Practice Location
2458 OLD DORSETT RD STE 110
MARYLAND HEIGHTS
MO
630432423
Practice Location Phone/Fax
| Phone: | 6369392550 |
| Fax: |
Provider Mailing Location
5700 MEXICO RD STE 8
SAINT PETERS
MO
633761667
Provider Mailing Phone/Fax
| Phone: | 6364776464 |
| Fax: | 6364109291 |