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Search › Alaska › 367500000X

Marlene Wallace, CRNA

NPI 1629037676 · on the registry since 2006

Practice

Address
5955 Zeamer Ave
673rd Medical Group/Sghq Dod-Va Joint Venture Hospital
Jber, AK 99506
Phone
(907) 580-1035
Fax
(907) 580-3203
Organisation at this address
Anchorage Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163WP0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska