Provider Demographics
NPI:1144655275
Name:GLYNN, ANDRIANE L (RN)
Entity type:Individual
Prefix:MR
First Name:ANDRIANE
Middle Name:L
Last Name:GLYNN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:278 LASALLE LEFALL DR
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-5324
Mailing Address - Country:US
Mailing Address - Phone:850-875-7200
Mailing Address - Fax:850-875-9213
Practice Address - Street 1:278 LASALLE LEFALL DR
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-5324
Practice Address - Country:US
Practice Address - Phone:850-875-7200
Practice Address - Fax:850-875-9213
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2021-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9364252163W00000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse