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Individual

GLENDA J. CONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 333-3830
(918) 333-3846
Mailing address
PO BOX 3456, BARTLESVILLE, OK 74006-3456
(918) 333-3830
(918) 333-3846

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0047065
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200131850A
OK
01
P00474503
RR MEDICARE
OK
Enumeration date
01/18/2008
Last updated
06/02/2014
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