Wallace L Blore, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Lititz, PA

NPI

1932146644

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

RN219133L (PA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-01

Last updated

2007-07-08