Individual
TAMI S GLENN
Active
Individual
TAMI S GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201340251RN
OR
163W00000X
Registered Nurse
567793
CA
163W00000X
Registered Nurse
RN00137861
WA
367500000X
Certified Registered Nurse Anesthetist
201360008CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
4118
CA
367500000X
Certified Registered Nurse Anesthetist
AP60098103
WA
Other
Enumeration date
05/29/2009
Last updated
03/22/2016
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