DEBORAH GLEESON CRNP NPI 1174512024

NPI Information

NPI: 1174512024
Provider Name: DEBORAH GLEESON, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
9900 BREN RD E
MINNETONKA, MN
ZIP 55343
Phone: (215) 707-8484
Get Directions

Deborah Gleeson, CRNP is an adult health nurse practitioner in Minnetonka, MN. Deborah Gleeson, CRNP NPI is 1174512024. 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:

9900 BREN RD E
MINNETONKA, MN
ZIP 55343-664
Phone: (215) 707-8484
Fax: (215) 707-3946

The NPI 1174512024 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 10/13/2005 and was last updated on 4/7/2021.

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
1	363LA2200X	Nurse Practitioner	Adult Health	SP007419	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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