Brandi Wallace, FNP is a family nurse practitioner in Fargo, ND with 6 years of experience. Brandi Wallace, FNP NPI is 1982739900. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4622 40TH AVENUE SOUTH
SUITE A
FARGO, ND
ZIP 58104-394
Phone: (701) 364-2909
The NPI 1982739900 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/25/2019.