Provider Demographics
NPI:1750406344
Name:GLASER, SARALEE S (CRNA)
Entity type:Individual
Prefix:MS
First Name:SARALEE
Middle Name:S
Last Name:GLASER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:6347 LANGHALL CT
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4114
Mailing Address - Country:US
Mailing Address - Phone:818-865-0396
Mailing Address - Fax:818-865-0396
Practice Address - Street 1:2300 WANKEL WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-2665
Practice Address - Country:US
Practice Address - Phone:805-485-1908
Practice Address - Fax:805-485-5767
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANA2452367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered