Provider Demographics
NPI:1770646192
Name:GLASSNER, EMILY ALLISON (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ALLISON
Last Name:GLASSNER
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:1004 SOUTH ROCK STREET
Mailing Address - Street 2:WESTLAKE ANESTHESIA GROUP, PA
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626
Mailing Address - Country:US
Mailing Address - Phone:512-279-0348
Mailing Address - Fax:512-371-8788
Practice Address - Street 1:1004 SOUTH ROCK STREET
Practice Address - Street 2:WESTLAKE ANESTHESIA GROUP, PA
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626
Practice Address - Country:US
Practice Address - Phone:512-279-0348
Practice Address - Fax:512-371-8788
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2015-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS1492572052163W00000X
MO2004008595163W00000X
KS55562367500000X
TXAP119157367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse