MS. SHANNON WALLACK, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1255578068
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 517 (MN) |
Frequently Asked Questions
NPI 1255578068 is the National Provider Identifier for MS. SHANNON WALLACK, CRNA, a Nurse Anesthetist, Certified Registered provider located in Saint Paul, MN. This NPI was enumerated on January 15, 2009.
MS. SHANNON WALLACK, CRNA practices at 435 PHALEN BLVD, Saint Paul, MN 55130.
Quick Facts
- NPI
- 1255578068
- Type
- Individual
- Enumerated
- Jan 15, 2009
- Last Updated
- Dec 17, 2024
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