NPI 1114707940 · live from the CMS NPI Registry
Reina Glandon, DNP, CPNP-PC
Nurse Practitioner, Pediatrics in Cedar Rapids, IA. National Provider Identifier 1114707940, active.
NPI record
| NPI | 1114707940 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1201 3rd Ave Se, Cedar Rapids, IA 52403 |
| Practice phone | 319-730-7300 |
| Mailing address | 66 Devonwood Ave Sw, Cedar Rapids, IA 52404 |
| Enumerated | September 29, 2023 |
| Last updated | September 29, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C176553 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.