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Individual

BREE ANN GLAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2025045760
MO
367500000X
Certified Registered Nurse Anesthetist
558357
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0492183
OH
Enumeration date
06/16/2022
Last updated
12/03/2025
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