person
Mrs. Danielle Wallinga, PA
Medical Physician Assistant in Niobrara, Nebraska
NPI 1750474755

Danielle Wallinga is a Medical Physician Assistant based in Niobrara, NE and is specialized in Medical. Danielle Wallinga practices in Niobrara, NE and has the professional credentials of PA. The NPI Number for Danielle Wallinga is 1750474755 and holds a License No. 908 (Nebraska).

The current practice location address for Danielle Wallinga is 25410 Park Ave, Niobrara, NE and can be reached out via phone at 402-857-3398 and via fax at 402-857-3315.

Location: 25410 Park Ave, Niobrara, NE, 68760-7044
person
Provider Profile Details
NPI Number
1750474755
Provider Name
Danielle Wallinga
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
25410 Park Ave, Niobrara, NE, 68760-7044
Phone Number
402-857-3398
Fax Number
402-857-3315
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025001900 05 NE
9955 01 NE MIDLANDS CHOICE
5300850 01 SD MEDICAID
9210187 01 NE DAKOTACARE
30387 01 NE BLUE SHIELD
5300850 05 SD
institution
Provider Business Practice Location Address Details
Address
25410 Park Ave
City
State
Zip
68760-7044
Phone Number
402-857-3398
Fax Number
402-857-3315
person
Provider Business Mailing Address Details
Address
25410 Park Ave
City
State
Zip
68760-7044
Phone Number
402-857-3398
Fax Number
402-857-3315
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
908 (Nebraska)
Definition
Definition to come...
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