Individual
EDWIN PALMER NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12222 N CENTRAL EXPY, STE 400, DALLAS, TX 75243-3755
(469) 218-0678
(469) 587-6684
Mailing address
12222 N CENTRAL EXPY, STE 400, DALLAS, TX 75243-3755
(469) 218-0678
(469) 587-6684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02651
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168548001
—
AR
Enumeration date
02/05/2007
Last updated
06/24/2013
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