NPI 1497058259

Glenn Ray White, CRNA

Practitioner Certified Registered Nurse Anesthetist West Union, IA

Practice location

Address: 112 Jefferson St, West Union, IA 52175-1022
Phone: (563) 422-3811
Mailing address: PO Box 7687, Columbia, MO 65205-7687

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D130493 (IA)

Other Nurse Anesthetist, Certified Registered providers in Iowa →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2011002332 (MO)

Registry record

NPI: 1497058259
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2010
Record last updated: 11 Oct 2018

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.