MRS. GLENDA CAROL GULLION RN BSN NPI 1609057850

NPI Information

  • NPI: 1609057850
  • Provider Name: MRS. GLENDA CAROL GULLION, RN BSN
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 4402 E STATE BLVD
    FORT WAYNE, IN
    ZIP 46815
  • Phone: (260) 484-8830

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NPI Details

MRS. Glenda Carol Gullion, RN BSN is a general practice registered nurse in Fort Wayne, IN. MRS. Glenda Carol Gullion, RN BSN NPI is 1609057850. 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:

4402 E STATE BLVD
FORT WAYNE, IN
ZIP 46815-917
Phone: (260) 484-8830
Fax: (260) 483-1911

The enumeration date for this NPI number is 11/15/2007 and was last updated on 11/15/2007.

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
1163WX0200XRegistered NurseOncology28124124AINDIANANo
2163WG0000XRegistered NurseGeneral Practice28124124AINDIANAYes

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: 3/30/2025

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