Theresa H. Gloss, CRNA
Nurse Anesthetist, Certified Registered in Marietta, GA. Individual provider (NPI-1).
NPI number1528055464
StatusActive
Last updated in NPPESJun 12, 2008
Details
- NPI
- 1528055464
- Entity type
- Individual (NPI-1)
- Name
- Theresa H. Gloss
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2005
- Last updated
- Jun 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN043818 | GA | Yes |
Practice location
2550 Windy Hill Rd SeSuite 302
Marietta, GA 30067-8665
Phone 678-574-0943 · Fax 678-574-0943
Mailing address
3155 N Point PkwyAttn: Credentialing Dept, Building F, Suite 100
Alpharetta, GA 30005
Phone 770-645-9181 · Fax 770-645-8455
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