Tanzman, Glenn L

Tanzman, Glenn L is an individual health care provider with primary practice located at 593 Eddy Street Davol 129, Providence RI 02903-4923. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tanzman, Glenn L can be contacted via phone (401) 444-4933.

Contact Information

Primary practice address
593 Eddy Street Davol 129 Providence RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN246965 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA36635 Rhode Island

Profile Details

NPI number 1053369173
LBN Legal business name Tanzman, Glenn L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053369173 NPPES
Rhode Island Other 1286 BLUE CROSS
Rhode Island Other 0010803 BLUE CROSS

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