NPI 1013576990

Kelsey a Wallace, CRNA

Practitioner Certified Registered Nurse Anesthetist Springfield, IL

Practice location

Address: 701 N 1st St, Springfield, IL 62781-0001
Phone: (217) 788-3000
Mailing address: PO Box 3428, Springfield, IL 62708-3428

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209019523 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1013576990
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2019
Record last updated: 17 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.