Individual
MRS. SHANA M GLINIECKI
Active
Individual
MRS. SHANA M GLINIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
146853-030
WI
367500000X
Certified Registered Nurse Anesthetist
075700
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA2135
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2886-033
APNP LICENSE
WI
05
—
44355600
—
WI
Enumeration date
07/09/2006
Last updated
11/17/2022
Update your record
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