DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WALLACE BARRETT JR., CRNA

Active

MR. WALLACE BARRETT JR., CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LITCHFIELD, Illinois. NPI 1104216944 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · LITCHFIELD, IL

Registration Details

NPI Number
1104216944
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2015 (11.507018282512 yrs)
Last Updated
Nov 17, 2022
Licenses
041.406110 (IL)
209012598 (IL)

Practice Information

Address
1215 FRANCISCAN DR
LITCHFIELD, IL, 620561778
Browse IL providers · Browse ZIP 62056
Phone
2173248389
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in LITCHFIELD, IL

Name Credential NPI
MR. JOHN P. JURKANIN CRNA 1235230210
MR. STEVEN R. WRIGHT CRNA 1992806970
PATTI S DURBIN CRNA 1720226442
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.