Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Carl Sutphin, RN

Individual provider Flight Registered Nurse · NPI 1235953613

Glenn Carl Sutphin, RN is a Nurse Practitioner in Princeton, West Virginia. Qualified in 2024, 2 years ago. Practices with Princeton Community Hospital Assn Inc, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
2
Licensed in
WV
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

122 12th St
Princeton, WV 24740-2312
Phone: (304) 487-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Wyoming St, Charleston, WV 25302-2340 — (304) 340-8000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 121399 (WV)
Flight Registered Nurse Taxonomy 163WF0300X · Licence 81976 (WV)

Record details

NPI number1235953613
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address203 Union Dr, Princeton, WV 24740-8822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Princeton Community Hospital Assn. Inc. — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount