MEDICARE: MR. WILLIAM GLENN MCGUIRT CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN769232	PA
2	367500000X	Certified Registered Nurse Anesthetist	0024157684	VA

General Provider Information

NPI Number	:	1841222007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM GLENN MCGUIRT CRNA

Provider Business Mailing Address
First Line	:	1970 ROANOKE BLVD
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-6404
Country	:	US
Telephone Number	:	540-982-2463
Fax Number	:	540-725-6956

Provider Business Practice Location Address
First Line	:	2160 STATE RD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-1812
Country	:	US
Telephone Number	:	223-287-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/08/2024

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