John Wallace, CRNA
John Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Las Cruces, New Mexico. Qualified in 2015, 11 years ago. Practices with Novus Colorado Professional Corporation, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Illinois, Minnesota and New Mexico and 2 more.
- Years since qualifying
- 11
- Licensed in
- CO, IL, MN, NM, WA, WI
- In the registry since
- 2016
- Specialties on file
- 6
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
4351 E Lohman AveLas Cruces, NM 88011-8259
Phone: (970) 216-5385
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 333 Smith Ave N, Saint Paul, MN 55102-2344 — (651) 241-4000
- 2811 Tieton Dr, Yakima, WA 98902-3761 — (970) 216-5385
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence CRNA 01415 (NM) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence APN.0996269-CRNA (CO) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 209021371 (IL) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 2355 (MN) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 10406-33 (WI) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence AP61248892 (WA) |
Record details
| NPI number | 1265891295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2016 |
| Last updated in NPPES | May 11, 2022 |
| Certification date | May 11, 2022 |
| Mailing address | Po Box 436, Ouray, CO 81427-0436 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Novus Colorado Professional Corporation — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Las Cruces
-
Audra Noelle Romney
2450 S Telshor Blvd, Las Cruces, NM 88011-5076 · (575) 752-2864
-
Brett A Skattum, CRNA
2450 S Telshor Blvd, Las Cruces, NM 88011-5141 · (575) 522-8641
-
Eva Suniga, CRNA
3957 Agua De Vida Dr, Las Cruces, NM 88012-7669 · (505) 250-9537
-
Aaron Villarreal, CRNA, NSPM-C
3851 E Lohman Ave Ste 4, Las Cruces, NM 88011 · (575) 205-0280
-
William Baptist & Associates PLLC
205 W Boutz Rd Bldg 1, Las Cruces, NM 88005-3262 · (575) 532-7000
-
Marco M Yaphet, CRNA
4311 E Lohman Ave Mountain View Regional Med Ctr, Las Cruces, NM 88011 · (505) 556-7600