Glenn G Boettger, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Oceanside, NY

NPI

1376657601

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

4334941 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-17

Last updated

2015-03-25