NPI 1013388164

Glenn W Walter, CAA

Practitioner Anesthesiologist Assistant Inverness, FL

Practice location

Address: 502 West Highland Blvd, Inverness, FL 34452-4720
Phone: (352) 726-1551
Mailing address: 1613 N. Harrison Parkway Suite 200, Mailstop Sh-9a, Sunrise, FL 33323-2896

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA316 (FL)

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Registry record

NPI: 1013388164
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2015
Record last updated: 16 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.