Individual provider · Type 1 NPI
Alicia Anne Vandewalle, APRN
Family Nurse Practitioner · Randolph, NE
NPI number
1104276948
Active
Practice location
106 E Wayne St
Randolph, NE 68771-5300
Mailing address
PO Box 429, 402 N Maple
Osmond, NE 68765-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 112022 (NE) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1104276948
Alicia Anne Vandewalle, APRN's National Provider Identifier is 1104276948, issued on Jun 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Randolph, NE. The record was last updated on Aug 19, 2022.