Individual provider · Type 1 NPI

Gregory Scott Wallis, CRNA

Certified Registered Nurse Anesthetist · Nacogdoches, TX

NPI number 1376698290 Active

Practice location

1204 N Mound St
Nacogdoches, TX 75961-4027

Mailing address

106 County Road 253
Nacogdoches, TX 75965-6980

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X630401 (TX)

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 1376698290

Gregory Scott Wallis, CRNA's National Provider Identifier is 1376698290, issued on Jan 23, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Nacogdoches, TX. The record was last updated on Nov 4, 2014.