Brandi Wallace is a Fargo, North Dakota based nurse practitioner with 7 years of experience in . She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brandi Wallace is R30131 for Family in North Dakota. Her current practice location is 4622 40th Avenue South, Suite A, Fargo. Patients can reach her at 701-364-2909. Brandi Wallace is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1982739900. Brandi Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Brandi Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Brandi Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP
Experience:
7+ years
Medical School Attended:
Other
Graduation Year:
2018
Accepts Medicare Assignment:
Yes
Practice Address:
4622 40th Avenue South, Suite A, Fargo, North Dakota, 58104-4394
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628310604
Enrollment ID:
I20190422002540
NPI Number:
1982739900
NPI Enumeration Date:
22 Feb, 2007
NPI Last Update On:
25 Oct, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brandi Wallace are as mentioned below.
License Number
Specialization
State
Status
R30131
Family
North Dakota
Primary
R144003-8
Registered Nurse
Minnesota
Secondary
149297-030
Registered Nurse
Wisconsin
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(350070)
Fargo, ND
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Brandi Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Innovis Health Llc (9931298155)
404
Innovis Health Llc (9931298155)
404
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brandi Wallace 4500 36th Ave S Ste 100, Fargo, North Dakota
Zip:
58104-5275
Phone Number:
701-361-2286
Patients can reach Brandi Wallace at 4622 40th Avenue South, Suite A, Fargo, North Dakota or can call to book an appointment on 701-364-2909.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.