Individual
BRANDY LYNN WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1313 N CHEYENNE ST, BENKELMAN, NE 69021-3074
(308) 423-2204
Mailing address
1313 N CHEYENNE ST, BENKELMAN, NE 69021-3074
(308) 423-2204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R160622-5
MN
363LF0000X
Family Nurse Practitioner
Primary
111005
NE
Other
Enumeration date
08/16/2007
Last updated
07/15/2025
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