BRANDI WALLACE, FNP
Nurse Practitioner - Family
Active
Individual
NPI: 1982739900
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 149297-030 (WI) |
| Nurse Practitioner - Family | 363LF0000X | Yes | R30131 (ND) |
Frequently Asked Questions
NPI 1982739900 is the National Provider Identifier for BRANDI WALLACE, FNP, a Nurse Practitioner - Family provider located in Fargo, ND. This NPI was enumerated on February 22, 2007.
BRANDI WALLACE, FNP practices at 4622 40TH AVENUE SOUTH, SUITE A, Fargo, ND 58104.
Quick Facts
- NPI
- 1982739900
- Type
- Individual
- Enumerated
- Feb 22, 2007
- Last Updated
- Oct 25, 2019
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