Active NPIIndividual provider

Glen D Anderson, CRNA

Nurse Anesthetist, Certified Registered in Lebanon, New Hampshire

NPI Number1245268366
Practice location
1 Medical Center Dr, Lebanon, NH 03756-1000
Fax
—
Last updated
January 12, 2012

Glen Davis Anderson is a Nurse Anesthetist, Certified Registered based in Lebanon, NH. Glen Davis Anderson practices in Lebanon, NH and has the professional credentials of CRNA. The NPI Number for Glen Davis Anderson is 1245268366 and holds a License No. 031334-23-11 (NH). The current practice location address for Glen Davis Anderson is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5922.

Provider Profile Details

NPI Number
1245268366
Provider Name
Glen Davis Anderson
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Dr, Lebanon, NH 03756-1000
Phone Number
603-650-5922
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2006
Last Update Date
January 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-650-5922
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000
Phone Number
603-650-5922

License Information

License Number (1)
031334-23-11
License State (1)
NH
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
1010049041
License State (2)
VT
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glen D Anderson, CRNA?

The NPI number of Glen D Anderson, CRNA is 1245268366. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Glen D Anderson, CRNA?

Glen D Anderson, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NH under license number 031334-23-11.

Where does Glen D Anderson, CRNA practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-5922 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245268366 directly on the NPPES registry website.

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