IndividualActive
Shannon Glennon
NPI 1235091877 · Ambulatory Women's Health Care Registered Nurse · Wilkes-Barre, PA
Provider details
- NPI number
- 1235091877
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN777429 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1155 East Mountain Blvd
Wilkes-Barre, PA 18702
Phone: (570) 809-7916
Approximate (ZIP-level) locationGet directions
Mailing address
92 W Hartford St
Ashley, PA 18706-1608
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.