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

Marlene M.b. Wallace, CRNA

Individual provider Pain Management Registered Nurse · NPI 1629037676

Marlene M.b. Wallace, CRNA is a Pain Management Registered Nurse in Jber, Alaska. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
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

5955 Zeamer Ave 673rd Medical Group/sghq Dod-Va Joint Venture Hospital
Jber, AK 99506-3702
Phone: (907) 580-1035
Fax: (907) 580-3203
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 209012095 (IL)
Pain Management Registered Nurse Taxonomy 163WP0000X · Licence 041305554 (IL)

Record details

NPI number1629037676
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 20, 2006
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023