Conn, Glenda J.

Conn, Glenda J. is an individual health care provider with primary practice located at 3500 E Frank Phillips Blvd , Bartlesville OK 74006-2411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Conn, Glenda J. can be contacted via phone (918) 333-3830.

Contact Information

Primary practice address
3500 E Frank Phillips Blvd Bartlesville OK 74006-2411
Phone: (918) 333-3830
Fax: (918) 333-3846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0047065 Oklahoma

Profile Details

NPI number 1952587057
LBN Legal business name Conn, Glenda J.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Jun 2nd, 2014 - about 12 years ago

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 1952587057 NPPES
Oklahoma Other P00474503 RR MEDICARE
Oklahoma MEDICAID 200131850A RR MEDICARE

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