Individual provider · Type 1 NPI

Melynda Kaye Wallace, CRNA, APRN

Nurse Practitioner · Grantham, NH

NPI number 1881672137 Active

Practice location

151 Route 10 N Unit 2
Grantham, NH 03753-3621

Fax (603) 843-8176

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X040072-23-11 (NH)
Certified Registered Nurse Anesthetist 367500000X040072-23 (NH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

About NPI 1881672137

Melynda Kaye Wallace, CRNA, APRN's National Provider Identifier is 1881672137, issued on Jan 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grantham, NH. The record was last updated on Apr 22, 2024.