Individual
TRAVIS NEAL GLECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, ANESTHESIA SERVICES 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28203
(704) 355-8983
(704) 355-7938
Mailing address
5025 AIRPORT CENTER PKWY BLDG L, CHARLOTTE, NC 28208-5885
(704) 512-7105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
237189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NAN182
—
SC
Enumeration date
01/02/2013
Last updated
07/31/2018
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