Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn L Tanzman, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1053369173

Glenn L Tanzman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Providence, Rhode Island. Qualified in 2005, 21 years ago. Practices with Clinical Colleagues Inc, a 173-clinician group and works from 6 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
21
Licensed in
MA, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

593 Eddy Street Davol 129
Providence, RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 363 Highland Ave, Fall River, MA 02720-3703 — (508) 973-5425
  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 334-3271
  • 1 Kettle Point Ave Ste 200, East Providence, RI 02914-5375 — (401) 443-4230
  • 101 Dudley St, Providence, RI 02905-2401 — (401) 453-7950
  • 115 Cass Ave, Woonsocket, RI 02895-4705 — (850) 985-9180

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN01174 (RI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN246965 (MA)

Record details

NPI number1053369173
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Clinical Colleagues Inc — 173 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Providence