Ms. Shannon Marie Wallack is a Saint Paul, Minnesota based nurse anesthetist with 17 years of experience as Anesthesia Administration. She completed she graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Shannon Marie Wallack is 517 for Anesthesia Administration in Minnesota. Her current practice location is 435 Phalen Blvd, Saint Paul. Patients can reach her at 651-254-8080. Ms. Shannon Marie Wallack is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1255578068. Ms. Shannon Marie Wallack 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:
Ms. Shannon Marie Wallack 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
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
435 Phalen Blvd, Saint Paul, Minnesota, 55130-5302
Phone:
651-254-8080
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.
PAC ID:
0143514620
Enrollment ID:
I20160805000961
NPI Number:
1255578068
NPI Enumeration Date:
15 Jan, 2009
NPI Last Update On:
17 Dec, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Shannon Marie Wallack are as mentioned below.
License Number
Specialization
State
Status
517
Anesthesia Administration
Minnesota
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ms. Shannon Marie Wallack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Metropolitan Anesthesia Network Llp (5698689123)
487
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8170 33rd Ave S # Ms 21110q, Bloomington, Minnesota
Zip:
55425-4516
Phone Number:
952-883-5129
Fax Number:
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Patients can reach Ms. Shannon Marie Wallack at 435 Phalen Blvd, Saint Paul, Minnesota or can call to book an appointment on 651-254-8080.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.