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

Mara Glantz

Individual provider Family Nurse Practitioner · NPI 1619106689

Mara Glantz is a Nurse Practitioner in Stillwater, Minnesota. Qualified in 2009, 17 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
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Practice location Address checks out

14071 30th St N
Stillwater, MN 55082-1319
Phone: (651) 399-9933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6479 Reflections Dr Ste 230, Dublin, OH 43017-2366 — (380) 266-2377

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 180834-0 (MN)

Record details

NPI number1619106689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2009
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address14071 30th St N, Stillwater, MN 55082-1319

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Stillwater