Individual provider · Type 1 NPI

John Wallace, CRNA

Certified Registered Nurse Anesthetist · Las Cruces, NM

NPI number 1265891295 Active

Practice location

4351 E Lohman Ave
Las Cruces, NM 88011-8259

Mailing address

PO Box 436
Ouray, CO 81427-0436

Other practice locations

  • 2811 Tieton Dr, Yakima, WA 98902-3761 · (970) 216-5385
  • 333 Smith Ave N, St. Paul, MN 55102-2344 · (651) 241-4000

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XAPN.0996269-CRNA (CO)
Certified Registered Nurse Anesthetist 367500000X209021371 (IL)
Certified Registered Nurse Anesthetist 367500000X2355 (MN)
Certified Registered Nurse Anesthetist 367500000X10406-33 (WI)
Certified Registered Nurse Anesthetist 367500000XAP61248892 (WA)
Certified Registered Nurse Anesthetist Primary 367500000XCRNA 01415 (NM)

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 1265891295

John Wallace, CRNA's National Provider Identifier is 1265891295, issued on Feb 18, 2016. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Las Cruces, NM. The record was last updated on May 11, 2022.