Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLEN MARVIN INTERMILL, CRNFA
Active Sole ProprietorMR. GLEN MARVIN INTERMILL, CRNFA is a Registered Nurse First Assistant healthcare provider located in EAGLE POINT, Oregon. NPI 1992877963 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse First Assistant · EAGLE POINT, OR
Registration Details
- NPI Number
- 1992877963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.767929689045 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1222 CRAIGLEA DREAGLE POINT, OR, 975249617Browse OR providers · Browse ZIP 97524
- Phone
- 5415353820
- Fax
- 5415353821
- Primary Specialty
-
Registered Nurse First Assistant
163WR0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.