Individual provider · Type 1 NPI
Alexis Vandewalle
Peer Specialist · Grand Island, NE
NPI number
1336091412
Active
Practice location
111 Public Safety Dr
Grand Island, NE 68801-8510
Mailing address
PO Box 3
Cedar Rapids, NE 68627-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | CPSS-335 (NE) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1336091412
Alexis Vandewalle's National Provider Identifier is 1336091412, issued on Feb 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grand Island, NE. The record was last updated on Feb 11, 2026.