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Glenda Prudencio, PA-C

Physician Assistant · Glenn Dale, MD

UnclaimedPA-CNPI 1902273584
Primary taxonomy
363AM0700X
Enumerated
2015-08-30
Practice location
Glenn Dale, MD
Last NPPES update
2019-09-20

State licenses

  • MD · Physician assistant · NPPES self-reportedListed on NPI record
  • VA · Physician assistant · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.