Brenda Kay Wallingford, APRN NNP-BC | |
7500 Mercy Rd, Omaha, NE 68124-2319 | |
(402) 398-6014 | |
Not Available |
Full Name | Brenda Kay Wallingford |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
Location | 7500 Mercy Rd, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235340258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0000X | Nurse Practitioner - Neonatal | 110533 (Nebraska) | Secondary |
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 110533 (Nebraska) | Primary |
Entity Name | Alegent Creighton Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
Mailing Address | Practice Location Address |
---|---|
Brenda Kay Wallingford, APRN NNP-BC 11809 Windcrest Dr, Papillion, NE 68133-4771 Ph: (402) 490-7197 | Brenda Kay Wallingford, APRN NNP-BC 7500 Mercy Rd, Omaha, NE 68124-2319 Ph: (402) 398-6014 |
Jacqueline Maria Sellner, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13609 California Street, Suite 200, C/o Aureus Medical Group, Omaha, NE 68154 Phone: 800-856-6385 | |
Carrie L Hovey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4920 S 30th St, Suite 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990 | |
Ms. Gloria Kokes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2429 M St, Omaha, NE 68107 Phone: 402-731-7333 Fax: 402-614-5405 | |
Angela Salazar, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 S 30th St Ste 103, Omaha, NE 68107 Phone: 402-734-4110 Fax: 402-734-3990 | |
Sandra M Cayler, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2126 N 117th Ave, Omaha, NE 68164 Phone: 402-934-1617 Fax: 402-934-5228 | |
Nicole M Shaffer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7710 Mercy Rd Ste 224, Omaha, NE 68124 Phone: 402-717-0880 Fax: 402-717-6068 | |
Olivia B Tedesco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Mercy Rd, Omaha, NE 68124 Phone: 402-398-6014 Fax: 402-398-6983 |