MARLENE WALLACE, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1629037676
Practice Address
5955 ZEAMER AVE673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL
Jber, AK 99506
Phone: (907) 580-1035
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Pain Management | 163WP0000X | No | 041305554 (IL) |
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 209012095 (IL) |
Frequently Asked Questions
NPI 1629037676 is the National Provider Identifier for MARLENE WALLACE, CRNA, a Nurse Anesthetist, Certified Registered provider located in Jber, AK. This NPI was enumerated on March 20, 2006.
MARLENE WALLACE, CRNA practices at 5955 ZEAMER AVE, 673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL, Jber, AK 99506.
Quick Facts
- NPI
- 1629037676
- Type
- Individual
- Enumerated
- Mar 20, 2006
- Last Updated
- Feb 13, 2023
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