| Brynn Wallin, | |
| 
					1900 Electric Rd, Salem, VA 24153-7494  | |
| (407) 723-6505 | |
| Not Available | 
| Full Name | Brynn Wallin | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 1900 Electric Rd, Salem, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174279038 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 0024183818 (Virginia) | Primary | 
| Entity Name | Lewis Gale Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brynn Wallin, 1900 Electric Rd, Salem, VA 24153-7494 Ph: (540) 772-3650  | Brynn Wallin, 1900 Electric Rd, Salem, VA 24153-7494 Ph: (407) 723-6505  | 
Kristin Conrad, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-774-6000  | |
Alia Solis Alexander, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-772-3650  | |
Ms. Madeline Bundy, MPH, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-774-6000  | |
Ashley Worley, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-772-3650  | |
Rebecca White, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-774-6000  |