Individual provider · Type 1 NPI

Mallory A. Wilson, CRNA

Certified Registered Nurse Anesthetist · Birmingham, AL

NPI number 1114195476 Active

Practice location

1201 11th Ave S
Birmingham, AL 35205-3410

Call (205) 930-7296 Map

Fax (205) 930-7256

Mailing address

PO Box 55905
Birmingham, AL 35255-5905

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X1-100306 (AL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1114195476

Mallory A. Wilson, CRNA's National Provider Identifier is 1114195476, issued on Feb 20, 2008. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Birmingham, AL. The record was last updated on Jun 4, 2008.