Individual provider · Type 1 NPI
Jerrol B. Wallace, CRNA
Certified Registered Nurse Anesthetist · Baltimore, MD
Practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024167758 (VA) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | R246272 (MD) |
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 1316084932
Jerrol B. Wallace, CRNA's National Provider Identifier is 1316084932, issued on Jan 31, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Baltimore, MD. The record was last updated on Feb 16, 2021.