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Mr. Wallace Paul Odom, CRNA
Certified Registered Nurse Anesthetist in Huntsville, Alabama
NPI 1508830308

Wallace Paul Odom is a Certified Registered Nurse Anesthetist based in Huntsville, AL. Wallace Paul Odom practices in Huntsville, AL and has the professional credentials of CRNA. The NPI Number for Wallace Paul Odom is 1508830308 and holds a License No. 1-071049 (Alabama).

The current practice location address for Wallace Paul Odom is 911 Big Cove Rd Se, Huntsville, AL and can be reached out via phone at 256-265-8120 and via fax at 256-265-8969. You can also correspond with Wallace Paul Odom through the mailing address at PO BOX 1389, HUNTSVILLE, AL - 35807-0389 (mailing address contact number: 205-979-5882).

Location: 911 Big Cove Rd Se, Huntsville, AL, 35807-0389
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Provider Profile Details
NPI Number
1508830308
Provider Name
Wallace Paul Odom
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
911 Big Cove Rd Se, Huntsville, AL, 35807-0389
Phone Number
256-265-8120
Fax Number
256-265-8969
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051526353 05 AL
51526353 01 AL BCBS #
P00216451 01 AL RR MEDICARE #
institution
Provider Business Practice Location Address Details
Address
911 Big Cove Rd Se
City
State
Zip
35801-3750
Phone Number
256-265-8120
Fax Number
256-265-8969
person
Provider Business Mailing Address Details
Address
Po Box 1389
City
State
Zip
35807-0389
Phone Number
205-979-5882
Fax Number
205-979-1248
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
License No.
1-071049 (Alabama)
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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