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Kerry Diane Wallace, CRNA
Certified Registered Nurse Anesthetist in Gastonia, North Carolina
NPI 1932499498

Kerry Diane Wallace is a Certified Registered Nurse Anesthetist based in Gastonia, NC. Kerry Diane Wallace practices in Gastonia, NC and has the professional credentials of CRNA. The NPI Number for Kerry Diane Wallace is 1932499498 and holds a License No. 087186 (North Carolina).

The current practice location address for Kerry Diane Wallace is 2525 Court Dr, Gastonia, NC and can be reached out via phone at 704-834-4113.

Location: 2525 Court Dr, Gastonia, NC, 28054-5522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932499498
Provider Name
Kerry Diane Wallace
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
2525 Court Dr, Gastonia, NC, 28054-5522
Phone Number
704-834-4113
Fax Number
Provider Enumeration Date
04/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2525 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2140
Phone Number
704-834-4113
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2140
Phone Number
704-834-4113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
087186 (North Carolina)
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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