SearchUtah367500000X

Brian Glenn, CRNA

NPI 1710328984 · on the registry since 2013 · sole proprietor

Practice

Address
1152 W 1140 N
Provo, UT 84604
Phone
(801) 372-7768

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah