IndividualActive
Glen Intermill, CRNFA
NPI 1992877963 · Registered Nurse First Assistant · Eagle Point, OR
Provider details
- NPI number
- 1992877963
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- CRNFA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Providers
Practice location
1222 Craiglea Dr
Eagle Point, OR 97524-9617
Phone: (541) 535-3820
Fax: (541) 535-3821
Approximate (ZIP-level) locationGet directions
Mailing address
1222 Craiglea Dr
Eagle Point, OR 97524-9617
Registry dates
- Enumerated
- 2006-11-15
- 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.