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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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