Whalio Doctors

NPI 1427534718

Stephanie E Wallace, CRNA

Practitioner Certified Registered Nurse Anesthetist Fpo, AE

Practice location

Address
Psc 836 Box 122, Fpo, AE 09636
Phone
(570) 573-4343

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 95001098 (CA)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 95001092 (CA)

Registry record

NPI
1427534718
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jul 2018
Record last updated
27 May 2025

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.