Individual
GLENN SIRCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
42259
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3057487
BCBS
TN
05
—
3620045
—
TN
05
—
74453689
—
KY
Enumeration date
10/28/2005
Last updated
02/18/2010
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