Individual
STEPHANIE ROSE GLATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
19420 MERRIDY ST, NORTHRIDGE, CA 91324-1132
(609) 501-7614
Mailing address
19420 MERRIDY ST, NORTHRIDGE, CA 91324-1132
(609) 501-7614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002124
CA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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