BETH MARILYN GLENN APRN NPI 1003559808

NPI Information

  • NPI: 1003559808
  • Provider Name: BETH MARILYN GLENN, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2458 OLD DORSETT RD STE 110
    MARYLAND HEIGHTS, MO
    ZIP 63043
  • Phone: (636) 939-2550

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NPI Details

Beth Marilyn Glenn, APRN is a psychiatric/mental health nurse practitioner in Maryland Heights, MO with 4 years of experience. Beth Marilyn Glenn, APRN NPI is 1003559808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2458 OLD DORSETT RD STE 110
MARYLAND HEIGHTS, MO
ZIP 63043-423
Phone: (636) 939-2550

The NPI 1003559808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 11/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health2007017725MISSOURINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health2022021651MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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