Individual
GLENN ALLEN NANNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 450-7246
Mailing address
5444 E INDIANA ST PMB 301, EVANSVILLE, IN 47715-1532
(212) 203-4517
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
2018-02152
NC
208100000X
Physical Medicine & Rehabilitation Physician
11513A
WY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
01088937A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
99113777A
IN
Other
Enumeration date
04/24/2014
Last updated
03/26/2023
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