Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLEN WALLACE, CRNA
ActiveALLEN WALLACE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in ROOSEVELT, Utah. NPI 1295798163 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · ROOSEVELT, UT
Registration Details
- NPI Number
- 1295798163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2006 (20.304772682409 yrs)
- Last Updated
- Nov 30, 2007
- License
-
192839-4406 (UT)
Practice Information
- Address
-
250 W 300 NROOSEVELT, UT, 840662336Browse UT providers · Browse ZIP 84066
- Phone
- 4357226163
- Fax
- 4357229291
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in ROOSEVELT, UT
| Name | Credential | NPI |
|---|---|---|
| TRENT BELL | CRNA | 1669435673 |
| STEVEN R KNIGHT | CRNA | 1982667945 |
| FRANK GUERCIO | CRNA | 1912960881 |
| LUCAS C REICHERT | CRNA | 1497067888 |
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.