Glenn G Boettger in Fairfax - Nurse Anesthetist, Certified Registered
Glenn G Boettger - NPI 1376657601
Glenn G Boettger is a Nurse Anesthetist, Certified Registered in Fairfax, Virginia. Glenn G Boettger practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Glenn G Boettger is 1376657601. The last update date is 2015-03-25.
Glenn G Boettger's current location address is 3998 Fair Ridge Dr, Fairfax, Virginia. You can contact this provider via phone number 7032959360 and fax number 7037669725. The mailing address for Glenn G Boettger is 3998 Fair Ridge Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn G Boettger |
|---|---|
| Address | 3998 Fair Ridge Dr, Fairfax, Virginia |
| Phone Number | 7032959360 |
| Fax Number | 7037669725 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1376657601 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2015-03-25 |
Provider Mailing Address Detail
| Address | 3998 Fair Ridge Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 22033 |
| Phone Number | 7032959360 |
| Fax Number | 7037669725 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4334941 |
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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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Post Comment/ Review Below
What is the Glenn G Boettger's 1376657601?
The Glenn G Boettger's NPI (National Provider Identifier) Number is 1376657601. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Glenn G Boettger is physically located?
The Glenn G Boettger is situated at the following address: 3998 Fair Ridge Dr, Fairfax, VA 22033.
What is Glenn G Boettger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenn G Boettger is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Glenn G Boettger receive the assignment of its 1376657601 from the Centers for Medicare & Medicaid Services?
The Glenn G Boettger was issued its 1376657601 by the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the details related to Glenn G Boettger most recently updated or revised?
The information pertaining to Glenn G Boettger, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-25.