Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARLENE M.B. WALLACE, CRNA
ActiveMARLENE M.B. WALLACE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JBER, Alaska. NPI 1629037676 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · JBER, AK
Registration Details
- NPI Number
- 1629037676
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2006 (20.363749154236 yrs)
- Last Updated
- Feb 13, 2023
- Licenses
-
041305554 (IL)209012095 (IL)
Practice Information
- Address
-
5955 ZEAMER AVE673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITALJBER, AK, 995063702Browse AK providers · Browse ZIP 99506
- Phone
- 9075801035
- Fax
- 9075803203
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in JBER, AK
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS GUY FEVURLY | CRNA | 1780670729 |
| MR. DAVID L JOHNSON | CRNA | 1346211166 |
| TERESA R SELLERS | — | 1851612824 |
| CHRISTOPHER COWLEY | CRNA | 1104255892 |
| DARRELL WAYNE SAYLOR | CRNA | 1518398700 |
| JEREMY HOLZBERGER | CRNA | 1922405661 |
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.