IndividualActive
Alexis Vandewalle
NPI 1336091412 · Peer Specialist · Grand Island, NE
Provider details
- NPI number
- 1336091412
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CPSS-335 (NE)
Specialties & taxonomies
Other Service Providers
Practice location
111 Public Safety Dr
Grand Island, NE 68801-8510
Phone: (308) 223-0679
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3
Cedar Rapids, NE 68627-0003
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.