Active NPIIndividual provider

Wallena M Gould, CRNA

Nurse Anesthetist, Certified Registered in Vineland, New Jersey

NPI Number1588674717
Practice location
1505 W Sherman Ave, Vineland, NJ 08360-6912
Fax
856-641-7668
Last updated
September 5, 2012

Wallena M Gould is a Nurse Anesthetist, Certified Registered based in Vineland, NJ. Wallena M Gould practices in Vineland, NJ and has the professional credentials of CRNA. The NPI Number for Wallena M Gould is 1588674717 and holds a License No. 26NJ00243400 (NJ). The current practice location address for Wallena M Gould is 1505 W Sherman Ave, Vineland, NJ 08360-6912 and can be reached out via phone at 856-641-8000 and via fax at 856-641-7668.

Provider Profile Details

NPI Number
1588674717
Provider Name
Wallena M Gould
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1505 W Sherman Ave, Vineland, NJ 08360-6912
Phone Number
856-641-8000
Fax Number
856-641-7668
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Other Names
-- Wallena M Green (Former Name)
Provider Enumeration Date
August 9, 2006
Last Update Date
September 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1505 W Sherman Ave
Vineland, NJ 08360-6912
Zip
08360-6912
Phone Number
856-641-8000
Fax Number
856-641-7668
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
Po Box 650782
Dallas, TX 75265-0782
City
Dallas
State
TX
Zip
75265-0782
Phone Number
302-733-0806
Fax Number
302-733-0854

License Information

License Number (1)
26NJ00243400
License State (1)
NJ
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
26NR08657200
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
RN502167L
License State (3)
PA
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wallena M Gould, CRNA?

The NPI number of Wallena M Gould, CRNA is 1588674717. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Wallena M Gould, CRNA?

Wallena M Gould, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NJ00243400.

Where does Wallena M Gould, CRNA practice?

The practice location is 1505 W Sherman Ave, Vineland, NJ 08360-6912. The office can be reached at 856-641-8000 (phone) or 856-641-7668 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588674717 directly on the NPPES registry website.

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