Individual
GLENN L TANZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN246965
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA36635
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010803
BLUE CHIP
RI
01
—
1286
BLUE CROSS
RI
Enumeration date
05/04/2006
Last updated
06/17/2025
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