Glen Deitrick C.R.N.A

  • NPI 1033214564
According to our database, the NPI number for Glen Deitrick C.R.N.A is 1033214564 and activated since 17 years ago. Glen Deitrick C.R.N.A is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 15190 Community Rd, Gulfport, MS 39503. You can also contact Glen Deitrick C.R.N.A via telephone number is (228) 831-0204. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of Glen Deitrick C.R.N.A

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/13/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: R128610
  • License State: MS

Provider Mailing Address

  • Address: 15190 Community Rd
    Suite 230a
    Gulfport, MS 39503
  • Phone: 228-831-0204
  • Fax: 228-831-1868

Provider Practice Location

  • Address: 15190 Community Rd
    Suite 230a
    Gulfport, MS 39503
  • Phone: 228-831-0204
  • Fax: 228-831-1868

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: R128610
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00111157
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Glen Deitrick C.R.N.A?
  • A: The npi number for Glen Deitrick C.R.N.A is 1033214564.
  • Q: What are Glen Deitrick C.R.N.A's specialties?
  • A: Glen Deitrick C.R.N.A's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Glen Deitrick C.R.N.A?
  • A: The medical license number for Glen Deitrick C.R.N.A is R128610 and issued in MS in USA.
  • Q: Where is Glen Deitrick C.R.N.A practice location?
  • A: Glen Deitrick C.R.N.A is practicing at 15190 Community Rd, Gulfport, MS 39503.
  • Q: How to contact Glen Deitrick C.R.N.A?
  • A: You can contact Glen Deitrick C.R.N.A via 228-831-0204.