IndividualActive
Aaron Glenn
NPI 1972061612 · Nurse Practitioner · Fairfax, MO
Provider details
- NPI number
- 1972061612
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2019007056 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
26136 US Highway 59
Fairfax, MO 64446-9105
Phone: (660) 686-2211
Fax: (660) 686-2618
Approximate (ZIP-level) locationGet directions
Mailing address
26136 US Highway 59
Fairfax, MO 64446-9105
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2019-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.