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Individual

CANDACE S GLAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(707) 256-9085
Mailing address
3715 CANFIELD ST APT 201, BOULDER, CO 80301-3189
(707) 256-9085

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
681510
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149531902
TX
01
86886U
BCBS OF TEXAS
TX
05
RN3654610
CA
Enumeration date
07/18/2006
Last updated
08/21/2023
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