Individual
MRS. KATHLEEN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRNA
Contact information
Practice address
187 MILLBURN AVE, MILLBURN, NJ 07041-1847
(973) 467-1466
(973) 467-1422
Mailing address
40 BLAZIER RD, WARREN, NJ 07059-6929
(732) 560-3890
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR12327000
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9479375
FL
Other
Enumeration date
10/10/2006
Last updated
03/20/2023
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