Mrs Samara Alexis Glavin, PMHNP - Nurse Practitioner in Vancouver, WA

Mrs Samara Alexis Glavin, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Vancouver, Washington. Mrs Samara Alexis Glavin is licensed to practice in Washington (license number AP61403677) and her current practice location is 5512 Ne 109th Ct Ste I, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 200-5273.

NPI number for Mrs Samara Alexis Glavin is 1053020867 and her current mailing address is 5512 Ne 109th Ct Ste I, Vancouver, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053020867.

Contact Information

Mrs Samara Alexis Glavin, PMHNP
5512 Ne 109th Ct Ste I,
Vancouver, WA 98662-6175
(360) 200-5273
Not Available

Map and Direction




Provider's Profile

Full NameMrs Samara Alexis Glavin
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5512 Ne 109th Ct Ste I, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053020867
  • Provider Enumeration Date: 11/21/2022
  • Last Update Date: 02/21/2023

Medical Identifiers

Medical identifiers for Mrs Samara Alexis Glavin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053020867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61403677 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samara Alexis Glavin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Samara Alexis Glavin, PMHNP
5512 Ne 109th Ct Ste I,
Vancouver, WA 98662-6175

Ph: (360) 200-5273
Mrs Samara Alexis Glavin, PMHNP
5512 Ne 109th Ct Ste I,
Vancouver, WA 98662-6175

Ph: (360) 200-5273

Reviews and Comments


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