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

Mr. Glenford U Greenaway

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720836943

Mr. Glenford U Greenaway is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

100 Washington Ave S Ste 1210
Minneapolis, MN 55401-2511
Phone: (866) 492-5336
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP296673 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1720836943
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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