Individual provider · Type 1 NPI

Stacy Wallin, DNP, APRN, NNP-BC

Neonatal Nurse Practitioner · Minot, ND

NPI number 1104225580 Active

Practice location

2305 37th Ave SW
Minot, ND 58701-7669

Mailing address

PO Box 5010
Minot, ND 58702-5010

Other practice locations

  • 1 Burdick Expy W, Minot, ND 58701-4406 · (701) 857-5349

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000XR29613 (ND)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1104225580

Stacy Wallin, DNP, APRN, NNP-BC's National Provider Identifier is 1104225580, issued on Aug 21, 2014. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Minot, ND. The record was last updated on Sep 24, 2025.