Individual provider · NPI-1

Christopher Brandon Glenn, CRNA

Nurse Anesthetist, Certified Registered · Ocala, FL

NPI number1144857756
StatusActive
Last updated in NPPESMay 4, 2020

Details

NPI
1144857756
Entity type
Individual (NPI-1)
Name
Christopher Brandon Glenn
Credential
CRNA
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 24, 2020
Certification date
May 4, 2020
Last updated
May 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered11007013FLYes
163WG0000X Registered Nurse, General Practice9380826FL

Practice location

1500 Sw 1st Ave
Ocala, FL 34471-6504

Phone 352-351-7200

Mailing address

1419 Se 37th Ave
Ocala, FL 34471-4917

Phone 352-653-8131

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