MS. Melynda Kaye Wallace, CRNA, APRN
MS. Melynda Kaye Wallace, CRNA, APRN is a Certified Registered Nurse Anesthetist (CRNA) in Grantham, New Hampshire. Qualified in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.
- Years since qualifying
- 32
- Licensed in
- NH
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
151 Route 10 N Unit 2Grantham, NH 03753-3621
Phone: (603) 309-3902
Fax: (603) 843-8176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 040072-23-11 (NH) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 040072-23 (NH) |
Record details
| NPI number | 1881672137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNA , APRN |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2006 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 22, 2024 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |