IndividualActive
Brian Glenn, CRNA
NPI 1710328984 · Certified Registered Nurse Anesthetist · Provo, UT
Provider details
- NPI number
- 1710328984
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN2285656 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1152 W 1140 N
Provo, UT 84604-3010
Phone: (801) 372-7768
Approximate (ZIP-level) locationGet directions
Mailing address
1152 W 1140 N
Provo, UT 84604-3010
Registry dates
- Enumerated
- 2013-07-16
- Last updated
- 2013-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.