Individual
GLENDA J HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
725 IRVING AVE, SUITE 402, SYRACUSE, NY 13210
(315) 470-8705
(315) 470-5811
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
253424
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340279
—
NH
Enumeration date
07/26/2005
Last updated
01/24/2017
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