Mallory A Wilson is a Birmingham, Alabama based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mallory A Wilson is 1-100306 for Anesthesia Administration in Alabama. Her current practice location is 1201 11th Ave S, Birmingham. Patients can reach her at 205-930-7296 or can fax her at 205-930-7256. Mallory A Wilson is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1114195476. Mallory A Wilson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mallory A Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
1201 11th Ave S, Birmingham, Alabama, 35205-3410
Phone:
205-930-7296
Fax:
205-930-7256
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114195476
NPI Enumeration Date:
20 Feb, 2008
NPI Last Update On:
04 Jun, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory A Wilson are as mentioned below.
License Number
Specialization
State
Status
1-100306
Anesthesia Administration
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mallory A Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
51547667
Other
Alabama
BC BS OF AL
1114195476
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 55905, Birmingham, Alabama
Zip:
35255-5905
Phone Number:
205-930-7296
Fax Number:
205-930-7256
Patients can reach Mallory A Wilson at 1201 11th Ave S, Birmingham, Alabama or can call to book an appointment on 205-930-7296.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.