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JOHN WALLACE CRNA NPI 1265891295


NPI Information

NPI: 1265891295
Provider Name: JOHN WALLACE, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: ANIMAS ANESTHESIA ASSOCIATES LLC Address:
333 SMITH AVE N
SAINT PAUL, MN
ZIP 55102
Phone: (651) 241-4000
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John Wallace, CRNA is a nurse anesthetist certified registered in Saint Paul, MN with 9 years of experience. The provider is (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. John Wallace, CRNA NPI is 1265891295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 SMITH AVE N
SAINT PAUL, MN
ZIP 55102-344
Phone: (651) 241-4000

The enumeration date for this NPI number is 2/18/2016 and was last updated on 3/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredCRNA 01415NEW MEXICOYes
2367500000XNurse Anesthetist, Certified Registered10406-33WISCONSINNo
3367500000XNurse Anesthetist, Certified Registered2355MINNESOTANo
4367500000XNurse Anesthetist, Certified Registered209021371ILLINOISNo
5367500000XNurse Anesthetist, Certified RegisteredAPN.0996269-CRNACOLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.