Individual
GLENN ISAAC PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186629
VA
367500000X
Certified Registered Nurse Anesthetist
201400538
OR
367500000X
Certified Registered Nurse Anesthetist
735992
TX
367500000X
Certified Registered Nurse Anesthetist
APN0000031114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87124U
BC/BS
TX
Enumeration date
01/22/2007
Last updated
11/05/2024
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