NPI 1154156321

Marissa Glaze, DNPCRNA

Practitioner Certified Registered Nurse Anesthetist Pomona, NJ

Practice location

Address: 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102
Phone: (609) 652-1000
Mailing address: 654 Salmon Ave, Deptford, NJ 08096-3656

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 151775 (NJ)

Other Nurse Anesthetist, Certified Registered providers in New Jersey →

Registry record

NPI: 1154156321
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2024
Record last updated: 5 Sep 2024

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.