Provider Demographics
NPI:1639060536
Name:LOVING-GLASENAPP, BARRETT
Entity type:Individual
Prefix:
First Name:BARRETT
Middle Name:
Last Name:LOVING-GLASENAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10317 FRANLO RD
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-4823
Mailing Address - Country:US
Mailing Address - Phone:952-381-4883
Mailing Address - Fax:
Practice Address - Street 1:10317 FRANLO RD
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-4823
Practice Address - Country:US
Practice Address - Phone:952-381-4883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
MN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula