Richard Anthony Wallace CRNA

  • NPI 1629031992
According to our database, the NPI number for Richard Anthony Wallace CRNA is 1629031992 and activated since 18 years ago. Richard Anthony Wallace CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 8045 Roane Medical Center Dr, Harriman, TN 37748. You can also contact Richard Anthony Wallace CRNA via telephone number is (865) 316-1000. Provider NPI information was last updated on 09/25/2013.

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Overview of Richard Anthony Wallace CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/08/2006
  • Last updated: 09/25/2013

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 9332
  • License State: TN

Provider Mailing Address

  • Address: 969 Oak Ridge Tpke # 316
    Oak Ridge, TN 37830
  • Phone: 865-256-7711
  • Fax: 866-548-0571

Provider Practice Location

  • Address: 8045 Roane Medical Center Dr
    Harriman, TN 37748
  • Phone: 865-316-1000
  • Fax:

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 9332
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0454102553
  • Identifier Type: Other
  • Identifier State: TN
  • Issuer: TRICARE SOUTH HUMANA MILITARY

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Richard Anthony Wallace CRNA?
  • A: The npi number for Richard Anthony Wallace CRNA is 1629031992.
  • Q: What are Richard Anthony Wallace CRNA's specialties?
  • A: Richard Anthony Wallace CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Richard Anthony Wallace CRNA?
  • A: The medical license number for Richard Anthony Wallace CRNA is 9332 and issued in TN in USA.
  • Q: Where is Richard Anthony Wallace CRNA practice location?
  • A: Richard Anthony Wallace CRNA is practicing at 8045 Roane Medical Center Dr, Harriman, TN 37748.
  • Q: How to contact Richard Anthony Wallace CRNA?
  • A: You can contact Richard Anthony Wallace CRNA via 865-316-1000.