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Allen Wallace, CRNA
Certified Registered Nurse Anesthetist in Roosevelt, Utah
NPI 1295798163

Allen Wallace is a Certified Registered Nurse Anesthetist based in Roosevelt, UT. Allen Wallace practices in Roosevelt, UT and has the professional credentials of CRNA. The NPI Number for Allen Wallace is 1295798163 and holds a License No. 192839-4406 (Utah).

The current practice location address for Allen Wallace is 250 W 300 N, Roosevelt, UT and can be reached out via phone at 435-722-6163 and via fax at 435-722-9291.

Location: 250 W 300 N, Roosevelt, UT, 84066-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295798163
Provider Name
Allen Wallace
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
250 W 300 N, Roosevelt, UT, 84066-2336
Phone Number
435-722-6163
Fax Number
435-722-9291
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D0808 05 UT
institution
Provider Business Practice Location Address Details
Address
250 W 300 N
City
Roosevelt
State
Utah
Zip
84066-2336
Phone Number
435-722-6163
Fax Number
435-722-9291
person
Provider Business Mailing Address Details
Address
250 W 300 N
City
Roosevelt
State
Utah
Zip
84066-2336
Phone Number
435-722-6163
Fax Number
435-722-9291
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
192839-4406 (Utah)
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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