Shane K. Wallace, CRNA
CRNA (Nurse Anesthetist) · Pikeville, KY
UnclaimedCRNANPI 1235378605
- Primary taxonomy
- 367500000X
- Enumerated
- 2009-02-09
- Practice location
- Pikeville, KY
- Last NPPES update
- 2023-08-02
State licenses
- KY · Crna · NPPES self-reportedListed on NPI record
- TN · Crna · NPPES self-reportedListed on NPI record
- VA · Crna · NPPES self-reportedListed on NPI record
- VA · Crna · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.