Wallace Barrett, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Litchfield, IL

NPI

1104216944

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

209012598 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2015-02-02

Last updated

2022-11-17