Johnson, Glade Warren
Johnson, Glade Warren is an sole proprietor health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85395-2635. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Johnson, Glade Warren can be contacted via phone (623) 882-1500.Contact Information
Primary practice address
13677 W Mcdowell Rd
Goodyear AZ 85395-2635
Phone: (623) 882-1500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 297873 | Arizona |
Nursing Service Providers / Registered Nurse | 163W00000X | 10836809-3102 | Utah |
Profile Details
NPI number | 1609654219 |
---|---|
LBN Legal business name | Johnson, Glade Warren |
Credentials | CRNA, BSN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 15th, 2023 |
Last updated | Sep 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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