Individual
PATRICIA L GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8485
(865) 541-8727
Mailing address
PO BOX 15010, KNOXVILLE, TN 37901-5010
(865) 541-8485
(865) 541-8727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100047159
PHP TENNCARE
TN
05
—
3634024
—
TN
01
—
4100944
BLUECARE
TN
01
—
P00193844
TRAVELERS MEDICARE
TN
Enumeration date
04/10/2006
Last updated
03/24/2011
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