NPI 1053369173

Glenn L Tanzman, CRNA

Practitioner Certified Registered Nurse Anesthetist Providence, RI

Practice location

Address: 593 Eddy Street Davol 129, Providence, RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Mailing address: One Virginia Avenue Suite 201, Providence, RI 02905

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APRN01174 (RI)

Other Nurse Anesthetist, Certified Registered providers in Rhode Island →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN246965 (MA)

Registry record

NPI: 1053369173
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 23 Jul 2026

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.