Glenn Daniel Shupe in Phoenix - Nurse Anesthetist, Certified Registered
Glenn Daniel Shupe - NPI 1821072455
Glenn Daniel Shupe is a Nurse Anesthetist, Certified Registered in Phoenix, Arizona. Glenn Daniel Shupe practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Glenn Daniel Shupe is 1821072455. The last update date is 2018-05-15.
Glenn Daniel Shupe's current location address is 5777 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Glenn Daniel Shupe is 5777 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Daniel Shupe |
|---|---|
| Address | 5777 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1821072455 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2018-05-15 |
Provider Mailing Address Detail
| Address | 5777 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN130186 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 893158 | AZ | -- | |
| 86080015085259A | AZ | TRIWEST | |
| 86080015085260A | AZ | TRIWEST | |
| P00169405 | AZ | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Glenn Daniel Shupe by the Centers for Medicare & Medicaid Services?
The Glenn Daniel Shupe has been issued the NPI (National Provider Identifier) 1821072455 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Glenn Daniel Shupe's physical address?
The Glenn Daniel Shupe is physically located at 5777 E Mayo Blvd, in the city of Phoenix, AZ, with the postal code 850544502.
What is Glenn Daniel Shupe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glenn Daniel Shupe's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821072455 to Glenn Daniel Shupe?
The Glenn Daniel Shupe received its 1821072455 assignment from the Centers for Medicare & Medicaid Services on 2005-12-06.
As of what date was the information regarding Glenn Daniel Shupe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glenn Daniel Shupe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-15.