Individual
ALYSSA GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 E RAVEN CT, CHANDLER, AZ 85286-5745
(806) 535-0556
Mailing address
3217 E RAVEN CT, CHANDLER, AZ 85286-5745
(806) 535-0556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1373
AZ
Other
Enumeration date
09/29/2016
Last updated
08/25/2020
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