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Provider Profile

Glen Deitrick, C.R.N.A

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At a glance

About Glen Deitrick

Glen Deitrick, C.R.N.A is a certified registered nurse anesthetist based in Gulfport, MS. The provider's National Provider Identifier (NPI) is 1033214564.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

MS licenceAs reported to the NPI registry
No. R128610As reported
NPINational Provider Identifier
1033214564Issued 2006

As reported to the NPI registry ↗

Common questions

What kind of doctor is Glen Deitrick?

Glen Deitrick is a certified registered nurse anesthetist in Gulfport, MS. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Glen Deitrick's address?

Glen Deitrick is listed at 15190 Community Rd Suite 230A, Gulfport, MS 39503. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Glen Deitrick?

The number on file is (228) 831-0204. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Glen Deitrick's NPI number?

Glen Deitrick's National Provider Identifier is 1033214564. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Glen Deitrick been practicing?

Glen Deitrick has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Glen Deitrick confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Glen Deitrick. If this is you, claiming it is free.

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