Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allen Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1295798163

Allen Wallace, CRNA is a Certified Registered Nurse Anesthetist in Roosevelt, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-6163
Fax: (435) 722-9291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 192839-4406 (UT)

Record details

NPI number1295798163
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESNovember 30, 2007
Mailing address250 W 300 N, Roosevelt, UT 84066-2336

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