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

Mallory A Wilson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1114195476

Mallory A Wilson, CRNA is a Certified Registered Nurse Anesthetist in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2008.

Licensed in
AL
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1201 11th Ave S
Birmingham, AL 35205-3410
Phone: (205) 930-7296
Fax: (205) 930-7256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-100306 (AL)

Record details

NPI number1114195476
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 20, 2008
Last updated in NPPESJune 4, 2008

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