Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN WALLACE, CRNA
Active Sole ProprietorJOHN WALLACE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LAS CRUCES, New Mexico. NPI 1265891295 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LAS CRUCES, NM
Registration Details
- NPI Number
- 1265891295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2016 (10.490073608622 yrs)
- Last Updated
- May 11, 2022
- Licenses
-
APN.0996269-CRNA (CO)209021371 (IL)2355 (MN)10406-33 (WI)AP61248892 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4351 E LOHMAN AVELAS CRUCES, NM, 880118259Browse NM providers · Browse ZIP 88011
- Phone
- 9702165385
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| DANIEL F GRIFFIN | CRNA | 1215924543 |
| MS. TERI BETHA | CRNA | 1700815016 |
| PAUL KISUCKY III | CRNA | 1932133618 |
| MR. THOMAS CRAVENS | CRNA | 1649299348 |
| MRS. ANGELA D FRIETZE | CRNA | 1679877476 |
| AARON VILLARREAL | CRNA,NSPM-C | 1043643679 |
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.