Glenda Lykens
Nurse Practitioner - Primary Care
100 Nason Dr
Roaring Spring
, Pennsylvania 16673-1201
Glenda Lykens
Nurse Practitioner - Primary Care
100 Nason Dr
Roaring Spring
, Pennsylvania 16673-1201
(814) 224-2903
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Glenda Lykens
- 100 Nason Dr
- Roaring Spring, PA
- Zip : 16673-1201
- Fax : (814) 224-2903
- Phone : (814) 224-5132
Second Address
- Glenda Lykens
- 100 Nason Dr
- Roaring Spring, PA
- Zip : 16673-1201
- Fax : (814) 224-2903
- Phone : (814) 224-5132
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | SP006988B | PA |
National Provider Identifier
| NPI | 1083608863 |
|---|---|
| Provider Name | Glenda Lykens |
| First Address | Roaring Spring, PA 16673-1201 |
| Second Address | Roaring Spring, PA 16673-1201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0015716860011 | (05) | PA |
| 233901 | UMW (BLACK LUNG) (01) | PA |
| P35064 | (02) | PA |
| SH928460 | HIGHMARK (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.