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SHANE WALLACE, CRNA
CRNA
Certified Registered Nurse Anesthetist
NPI: 1235378605IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
0001179608(VA)
Certified Registered Nurse AnesthetistPrimary
Nurse Anesthetist, Certified Registered
Code: 367500000X
0024168171(VA)33501(TN)3008218(KY)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 911 BYPASS RD BLDG A
PIKEVILLE, KY 41501 - Phone
- (606) 430-3500
Quick Facts
- NPI
- 1235378605
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 18
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