Provider Demographics
NPI:1588899686
Name:AHMED, GLENNDA T (CNA)
Entity type:Individual
Prefix:MRS
First Name:GLENNDA
Middle Name:T
Last Name:AHMED
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:GLENNDA
Other - Middle Name:T
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA
Mailing Address - Street 1:7302 TOWERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2432
Mailing Address - Country:US
Mailing Address - Phone:832-725-0389
Mailing Address - Fax:
Practice Address - Street 1:7302 TOWER VIEW LN.
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489
Practice Address - Country:US
Practice Address - Phone:832-725-0389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities