Marlene M.b. Wallace, CRNA

NPI #1629037676 in Jber, Alaska

Provider Information

NPI Number
1629037676
Entity Type
Individual
Name
Marlene M.b. Wallace, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Mar 20, 2006
Last Updated
Feb 13, 2023

Practice Location

Address
5955 ZEAMER AVE
Address 2
673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL
City
Jber
State
Alaska
ZIP Code
99506-3702
Phone
(907) 580-1035

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Pain ManagementPain Management
Nurse Anesthetist, Certified Registered

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