Individual
KRISTINA L WALLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7941 N 152ND ST, BENNINGTON, NE 68007-1584
(402) 553-4717
Mailing address
7941 N 152ND ST, BENNINGTON, NE 68007-1584
(402) 553-4717
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
111039
NE
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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