GLEN DEITRICK, C.R.N.A
Nursing at Community Rd, Gulfport, MS

License number
Mississippi R128610
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Address
Address
15190 Community Rd SUITE 230A, Gulfport, MS 39503
Phone
(228) 831-0204
(228) 831-1868 (Fax)
National Provider ID: 1033214564
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

Glen Deitrick Photo 1

Glen Deitrick, Gulfport MS - CRNA (Certified registered nurse anesthetist)
Specialties:
Nurse Anesthesiology
Address:
15190 Community Rd SUITE 230A, Gulfport 39503
(228) 831-0204 (Phone), (228) 831-1868 (Fax)
Languages:
English

Glen Deitrick Photo 2

Glen Deitrick, Gulfport MS
Specialties:
Nurse Practitioner
Address:
15190 Community Rd, Gulfport, MS 39503

Nursing licenses in Mississippi










Other Doctors licenses in Mississippi