DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICIA ANNE VANDEWALLE, APRN

Active

ALICIA ANNE VANDEWALLE, APRN is a Family Nurse Practitioner healthcare provider located in RANDOLPH, Nebraska. NPI 1104276948 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RANDOLPH, NE

Registration Details

NPI Number
1104276948
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2016 (9.985059164276 yrs)
Last Updated
Aug 19, 2022
License
112022 (NE)

Practice Information

Address
106 E WAYNE ST
RANDOLPH, NE, 687715300
Browse NE providers · Browse ZIP 68771
Phone
4023370200
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.