IndividualActive
Glen Womble, CRNFA
NPI 1720133747 · Registered Nurse First Assistant · Melbourne, FL
Provider details
- NPI number
- 1720133747
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- CRNFA
- Sex
- Male
- Sole proprietor
- No
- License
- RN3180082 (FL)
Practice location
4740 Smithfield
Melbourne, FL 32934-7864
Phone: (321) 288-5605
Fax: (321) 242-8415
Mailing address
4740 Smithfield
Melbourne, FL 32934-7864
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.