| Candace S Glazier, CRNA | |
|
400 W 16th St, Pueblo, CO 81003-2745 | |
| (707) 256-9085 | |
| Not Available |
| Full Name | Candace S Glazier |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 400 W 16th St, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902825227 | NPI | - | NPPES |
| RN3654610 | Medicaid | CA | |
| 86886U | Other | TX | BCBS OF TEXAS |
| 149531902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 681510 (Texas) | Primary |
| Entity Name | Boulder Valley Gastroenterology Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902832603 PECOS PAC ID: 4688577174 Enrollment ID: O20040130001035 |
| Entity Name | Centers For Gastroenterology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801994157 PECOS PAC ID: 9537059555 Enrollment ID: O20040316000132 |
| Entity Name | North Denver Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902624422 PECOS PAC ID: 9234667346 Enrollment ID: O20250116001345 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace S Glazier, CRNA 3715 Canfield St Apt 201, Boulder, CO 80301-3189 Ph: (707) 256-9085 | Candace S Glazier, CRNA 400 W 16th St, Pueblo, CO 81003-2745 Ph: (707) 256-9085 |
Lara Kjurston Knowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Jamie Yi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305 | |
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717 | |
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547 | |
Mr. Kristopher A. Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004 Phone: 719-557-3824 Fax: 719-557-3834 |