Individual provider · Type 1 NPI

John Mathew Wallace, CRNA

Certified Registered Nurse Anesthetist · Winston Salem, NC

NPI number 1699489484 Active

Practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Call (336) 718-5000 Map

Mailing address

770 Edgewater Ln NW
Kennesaw, GA 30144-5118

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X7073 (NC)

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 1699489484

John Mathew Wallace, CRNA's National Provider Identifier is 1699489484, issued on Jan 6, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 6, 2023.