SHANE WALLACE, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1235378605
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 0001179608 (VA) |
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 3008218 (KY) |
Frequently Asked Questions
NPI 1235378605 is the National Provider Identifier for SHANE WALLACE, CRNA, a Nurse Anesthetist, Certified Registered provider located in Pikeville, KY. This NPI was enumerated on February 9, 2009.
SHANE WALLACE, CRNA practices at 911 BYPASS RD BLDG A, Pikeville, KY 41501.
Quick Facts
- NPI
- 1235378605
- Type
- Individual
- Enumerated
- Feb 9, 2009
- Last Updated
- Aug 2, 2023
Nearby Providers
-
PIKEVILLE MEDICAL CENTER INC
Home Health
-
MR. TREVOR JONES, FNP
Nurse Practitioner - Family
-
AMY JOHNSON, MD
Surgery
-
CHRISTOPHER CROOT, MD
Internal Medicine - Hematology & Oncology
-
MICHAEL MURPHY, DO
Family Medicine