Search › New Mexico › 367500000X
John Wallace, CRNA
NPI 1265891295 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4351 E Lohman Ave
Las Cruces, NM 88011 - Phone
- (970) 216-5385
- Organisation at this address
- Mark Bieri Md Pc
Bishnu Jiban Rauth
Southwest Heart Pc
Obgyn Consultants Llp
Zia Family Medicine PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 118
Additional practice sites
- 2811 Tieton Dr, Yakima, WA
- 333 Smith Ave N, Saint Paul, MN
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
367500000X
367500000X
367500000X
367500000X - Licence states on file
- CO, IL, MN, WI, WA, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico