MR. BYRON CORRIE GLENN NURSE PRACTITIONER
NPI 1578622817
Nurse Practitioner - Family in Deer Park, WA

Q: What is Byron Glenn's NPI number?

The NPI number for Byron Glenn is 1578622817. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Byron Glenn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Byron Glenn was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2006

401 S. MAIN AVE, DEER PARK, WA 99006(509) 434-0292(509) 434-0285 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Byron Corrie Glenn Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BYRON CORRIE GLENN NURSE PRACTITIONER (NPI 1578622817) is an individual family provider in Deer Park, Washington, licensed in Washington (AP 60001347) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1578622817

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BYRON CORRIE GLENNCredential: NURSE PRACTITIONER

Location Address401 S. MAIN AVEDeer Park, WA 99006

Mailing Address203 N Washington St, Suite 300Spokane, WA 99201-0233 · (509) 444-8888 · Fax (509) 444-7806

Phone(509) 434-0292

Fax(509) 434-0285

Sole ProprietorYes

Enumeration DateDecember 6, 2006

Last NPPES UpdateJuly 21, 2011

✔ NPI 1578622817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP 60001347

401 S. MAIN AVE, Deer Park, WA 99006

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byron Glenn's NPI number?

The NPI number for Byron Glenn is 1578622817. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Byron Glenn located?

Byron Glenn practices at 401 S. Main Ave, Deer Park, WA 99006. The listed phone number is (509) 434-0292.

What is Byron Glenn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Byron Glenn was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.