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Shelby L. Wallace, CRNA
Certified Registered Nurse Anesthetist in Peoria, Illinois
NPI 1982267696

Shelby L. Wallace is a Certified Registered Nurse Anesthetist based in Peoria, IL. Shelby L. Wallace practices in Peoria, IL and has the professional credentials of CRNA. The NPI Number for Shelby L. Wallace is 1982267696 and holds a License No. 209-019301 (Illinois).

The current practice location address for Shelby L. Wallace is 8600 State Route 91 Ste 250, Peoria, IL and can be reached out via phone at 309-692-5393.

Location: 8600 State Route 91 Ste 250, Peoria, IL, 61615-7831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982267696
Provider Name
Shelby L. Wallace
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
8600 State Route 91 Ste 250, Peoria, IL, 61615-7831
Phone Number
309-692-5393
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8600 State Route 91 Ste 250
City
Peoria
State
Illinois
Zip
61615-7831
Phone Number
309-692-5393
Fax Number
person
Provider Business Mailing Address Details
Address
8600 State Route 91 Ste 250
City
Peoria
State
Illinois
Zip
61615-7831
Phone Number
309-692-5393
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.
209-019301 (Illinois)
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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