Individual provider · Type 1 NPI
Brandi Wallace, FNP
Family Nurse Practitioner · Fargo, ND
NPI number
1982739900
Active
Practice location
4622 40th Avenue South, Suite A
Fargo, ND 58104-4394
Mailing address
4500 36th Ave S Ste 100
Fargo, ND 58104-5275
Other practice locations
- 4794 50th Ave S, Fargo, ND 58104-6027 · (701) 361-2286
- 2800 Cleveland Ave N, Roseville, MN 55113-1126 · (651) 642-1825
- 4141 31st Ave S Ste 102, Fargo, ND 58104 · (701) 356-0097
- 4141 31st Ave S Ste 102, Fargo, ND 58104 · (701) 356-0097
- 4500 36th Ave S Ste 100, Fargo, ND 58104-5275 · (701) 361-2286
- 4500 36th Ave S Ste 100, Fargo, ND 58104-5275 · (701) 361-2286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R144003-8 (MN) |
| Registered Nurse | 163W00000X | 149297-030 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | R30131 (ND) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Fargo
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- Kyrie Marie Severson, APRN, CNPFamily Nurse Practitioner Fargo, ND NPI 1003371782
- Tonya M. Otto, APRN, CNPFamily Nurse Practitioner Fargo, ND NPI 1003630302
- Mary Omer Habib, APRN, CNPFamily Nurse Practitioner Fargo, ND NPI 1003643487
- Erin Marie Wilmes Reiniger, APRN, FNP-CFamily Nurse Practitioner Fargo, ND NPI 1013564624
- Naomi Schuldt, DNP, APRN, FNP-CFamily Nurse Practitioner Fargo, ND NPI 1013693837
- Andrea Marie Beiseker, FNP-BCFamily Nurse Practitioner Fargo, ND NPI 1023390663
- Kathryn Olson, FNPFamily Nurse Practitioner Fargo, ND NPI 1023837861
About NPI 1982739900
Brandi Wallace, FNP's National Provider Identifier is 1982739900, issued on Feb 22, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fargo, ND. The record was last updated on Oct 25, 2019.