Samantha Nicole Glenn Etheredge is a student in an organized health care education training program in Bowling Green, KY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Samantha Nicole Glenn Etheredge NPI is 1386221844. 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:
250 PARK ST
BOWLING GREEN, KY
ZIP 42101-760
Phone: (270) 796-6540
The NPI 1386221844 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 3/29/2021 and was last updated on 9/29/2022.