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Shane K Wallace, CRNA
Certified Registered Nurse Anesthetist in Pikeville, Kentucky
NPI 1235378605

Shane K Wallace is a Certified Registered Nurse Anesthetist based in Pikeville, KY. Shane K Wallace practices in Pikeville, KY and has the professional credentials of CRNA. The NPI Number for Shane K Wallace is 1235378605 and holds a License No. 0001179608 (Kentucky).

The current practice location address for Shane K Wallace is 911 Bypass Rd Bldg A, Pikeville, KY and can be reached out via phone at 606-430-3500 and via fax at 606-437-1033.

Location: 911 Bypass Rd Bldg A, Pikeville, KY, 41502-0432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235378605
Provider Name
Shane K Wallace
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
911 Bypass Rd Bldg A, Pikeville, KY, 41502-0432
Phone Number
606-430-3500
Fax Number
606-437-1033
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235378605 05 VA
7100075570 05 KY
institution
Provider Business Practice Location Address Details
Address
911 Bypass Rd Bldg A
City
Pikeville
State
Kentucky
Zip
41501-1689
Phone Number
606-430-3500
Fax Number
606-437-1033
person
Provider Business Mailing Address Details
Address
911 Bypass Rd Bldg A
City
Pikeville
State
Kentucky
Zip
41501-1689
Phone Number
606-430-3500
Fax Number
606-437-1033
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
0024168171 (Virginia)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
0001179608 (Virginia)
Definition
(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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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