Glenn Pacis, FNP-C
Nurse Practitioner, Family in Leonardo, NJ. Individual provider (NPI-1).
NPI number1124880174
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1124880174
- Entity type
- Individual (NPI-1)
- Name
- Glenn Pacis
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2024
- Certification date
- Jan 25, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ14995700 | NJ | Yes |
Practice location
21 Constitution DrLeonardo, NJ 07737-1808
Phone 732-668-2738
Mailing address
21 Constitution DrLeonardo, NJ 07737-1808
Phone 732-668-2738
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