Shane K Wallace, CRNA
NPI #1235378605 in Pikeville, Kentucky
Provider Information
- NPI Number
- 1235378605
- Entity Type
- Individual
- Name
- Shane K Wallace, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- CRNA
- Enumeration Date
- Feb 9, 2009
- Last Updated
- Aug 2, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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