Search › Wisconsin › 363LA2200X
Christine Glen, APNP
NPI 1356743892 · on the registry since 2014 · sole proprietor
Practice
- Address
- 13950 W Capitol Dr
Brookfield, WI 53005 - Phone
- (414) 302-5400
- Fax
- (414) 302-5495
- Organisation at this address
- Children'S Medical Group
Wheaton Franciscan Pharmacy
Wheaton Franciscan Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin