NICOLE WALLIN
NPI 1740640317
Registered Nurse - Lactation Consultant in Bellevue, NE
Active since February 25, 2016
About Nicole Wallin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE WALLIN (NPI 1740640317) is an individual lactation consultant provider in Bellevue, Nebraska, licensed in Nebraska (65212) and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1740640317
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameNICOLE WALLIN
Location Address4802 SHANNON DRBellevue, NE 68133-4711
Mailing Address8200 Dodge StOmaha, NE 68114-4113 · (402) 955-5400 · Fax (402) 955-3674
Phone(402) 955-7600
Fax(402) 955-7601
Sole ProprietorNo
Enumeration DateFebruary 25, 2016
✔ NPI 1740640317 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in NE · 65212
4802 SHANNON DR, Bellevue, NE 68133
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740640317, enumerated as an "individual" on February 25, 2016.
The provider is located at 4802 SHANNON DR BELLEVUE, NE 68133 and the phone number is (402) 955-7600.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.
