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NPI · 1033214564 · NPPES-sourced

Glen Deitrick C.R.N.A

ActiveCertified Registered Nurse Anesthetist
NPI Number
1033214564
Type 1 · Individual
Contact
(228) 831-0204
License MS · R128610
Last Updated
Enumerated
Primary practice addressMS · 39503-3485
15190 Community Rd, Suite 230aGulfport, MS 39503-3485
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About this NPIWhat this record shows.

NPI 1033214564 is registered to Glen Deitrick C.R.N.A, a Certified Registered Nurse Anesthetist practising at 15190 Community Rd, Suite 230a in Gulfport, Mississippi. Certified Registered Nurse Anesthetist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Glen Deitrick C.R.N.A has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Glen Deitrick C.R.N.A accepts. To confirm in-network status with your specific health plan, contact Glen Deitrick C.R.N.A directly at (228) 831-0204.

Frequently asked

Yes. NPI 1033214564 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Certified Registered Nurse Anesthetist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (228) 831-0204.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Glen Deitrick C.R.N.A is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy367500000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
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2 records · same addressOther providers at this location.

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Same specialtyOther Certified Registered Nurse Anesthetist providers in Mississippi.

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