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MALLORY A WILSON CRNA
NPI 1114195476
Nurse Anesthetist, Certified Registered in Birmingham, AL

Active since February 20, 2008
1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-7296(205) 930-7256 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory A Wilson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY A WILSON CRNA (NPI 1114195476) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Alabama (1-100306) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1114195476
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMALLORY A WILSONCredential: CRNA
Location Address1201 11TH AVE SBirmingham, AL 35205-3410
Mailing AddressPo Box 55905Birmingham, AL 35255-5905 · (205) 930-7296 · Fax (205) 930-7256
Phone(205) 930-7296
Fax(205) 930-7256
Sole ProprietorNo
Enumeration DateFebruary 20, 2008
Last NPPES UpdateJune 4, 2008
✔ NPI 1114195476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-100306
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 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.
1201 11TH AVE S, Birmingham, AL 35205
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Other Identifiers 3

Medicare PIN510I430117AL
Other51547667AL · Bc Bs Of Al
Medicaid1114195476AL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANYET BELYEU
Nurse Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7155
MS. KIARA LAJADA KNIGHT
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 934-3411
MR. CECIL FOSTER HACKNEY
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7050
GEORGE R. WELLS III M.D.
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7246
MR. CLARK EDWARD TINSLEY II RN
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7790
JULIE ELISE MAULDIN
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (256) 626-0319
MRS. AUDREY WOODS
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 939-4939
GREGORY H RANDLE CRNA
Nurse Anesthetist, Certified Registered
1201 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-7296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Wilson's NPI number?

The NPI number for Mallory Wilson is 1114195476. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Mallory Wilson located?

Mallory Wilson practices at 1201 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 930-7296.

What is Mallory Wilson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mallory Wilson was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.