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

Mr. Byron Corrie Glenn, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1578622817

Mr. Byron Corrie Glenn, NURSEPRACTITIONER is a Family Nurse Practitioner in Deer Park, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

401 S Main Ave
Deer Park, WA 99006
Phone: (509) 434-0292
Fax: (509) 434-0285
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP 60001347 (WA)

Record details

NPI number1578622817
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 6, 2006
Last updated in NPPESJuly 21, 2011

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