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MRS. NANCY A WALLACE CRNA
NPI 1194717249
Nurse Anesthetist, Certified Registered in Tulsa, OK

Active since August 16, 2005
4800 S 109TH E AVE, TULSA, OK 74146(918) 742-2502(918) 745-9750 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nancy A Wallace Crna NPPES

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

MRS. NANCY A WALLACE CRNA (NPI 1194717249) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (R0031556) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1194717249
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. NANCY A WALLACECredential: CRNA
Location Address4800 S 109TH E AVETulsa, OK 74146
Mailing AddressPo Box 470191Tulsa, OK 74147-0191 · (918) 742-2502 · Fax (918) 745-9750
Phone(918) 742-2502
Fax(918) 745-9750
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194717249 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 OK · R0031556
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.
4800 S 109TH E AVE, Tulsa, OK 74146
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Other Identifiers 3

Other7592237OK · Aetna
Medicare ID-Type Unspecified249319906OK
Other721545605001OK · Bcbs

Other Providers at the Same Location NPPES 3

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

MS. PATRICIA A CASE CRNA
Nurse Anesthetist, Certified Registered
4800 S 109TH E AVE
TULSA, OK 74146
Tulsa County (918) 742-2502
MRS. BECKY R BARNES CRNA
Nurse Anesthetist, Certified Registered
4800 S 109TH E AVE
TULSA, OK 74146
Tulsa County (918) 742-2502
SOONER ANESTHESIA SERVICES LLC
Anesthesiology
4800 S 109TH E AVE
TULSA, OK 74146
Tulsa County (918) 742-2502

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 Nancy Wallace's NPI number?

The NPI number for Nancy Wallace is 1194717249. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Nancy Wallace located?

Nancy Wallace practices at 4800 S 109th E Ave, Tulsa, OK 74146. The listed phone number is (918) 742-2502.

What is Nancy Wallace'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 Nancy Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.