Brenda Wallis in Lufkin - Nurse Anesthetist, Certified Registered
Brenda Wallis - NPI 1477579688
Brenda Wallis is a Nurse Anesthetist, Certified Registered in Lufkin, Texas. Brenda Wallis practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Brenda Wallis is 1477579688. The last update date is 2008-03-05.
Brenda Wallis's current location address is 505 S John Redditt Dr, Lufkin, Texas. You can contact this provider via phone number 9366393036 and fax number 9366393064. The mailing address for Brenda Wallis is 505 S John Redditt Dr, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Wallis |
|---|---|
| Address | 505 S John Redditt Dr, Lufkin, Texas |
| Phone Number | 9366393036 |
| Fax Number | 9366393064 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1477579688 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 505 S John Redditt Dr |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759043120 |
| Phone Number | 9366393036 |
| Fax Number | 9366393064 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 72151 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84275U | TX | BCBS | |
| 84279U | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brenda Wallis by the Centers for Medicare & Medicaid Services?
The Brenda Wallis has been issued the NPI (National Provider Identifier) 1477579688, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Brenda Wallis is physically located?
The Brenda Wallis is situated at the following address: 505 S John Redditt Dr, Lufkin, TX 759043120.
What is Brenda Wallis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brenda Wallis's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did Brenda Wallis receive its 1477579688 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Wallis was assigned its 1477579688 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brenda Wallis most recently updated or revised?
The details related to Brenda Wallis, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-05.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN