NPI 1336091412

Alexis Vandewalle

Practitioner Peer Specialist Grand Island, NE

Practice location

Address: 111 Public Safety Dr, Grand Island, NE 68801-8510
Phone: (308) 223-0679
Mailing address: PO Box 3, Cedar Rapids, NE 68627-0003

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CPSS-335 (NE)

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Registry record

NPI: 1336091412
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2026
Record last updated: 11 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.