Individual
GLENN CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8212 KELWOOD AVE, BATON ROUGE, LA 70806-4801
(225) 929-7600
(225) 930-7524
Mailing address
2644 S SHERWOOD FOREST BLVD, STE 121, BATON ROUGE, LA 70816-2248
(225) 293-2523
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036468
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1395242
—
LA
Enumeration date
09/17/2006
Last updated
03/29/2017
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