Doctor profile · Federal record
Dr. Brandi Wallace, FNP
Family Nurse Practitioner · Registered Nurse · Registered Nurse · Fargo, ND
- NPI 1982739900
- 19 yrs on file
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
4622 40Th Avenue South, Suite A
Fargo, ND 581044394
(701) 364-2909 - Additional location
-
4141 31St Ave S Ste 102
Fargo, ND 58104
(701) 356-0097
fax (701) 356-0061 - Additional location
-
4500 36Th Ave S Ste 100
Fargo, ND 581045275
(701) 361-2286 - Additional location
-
4794 50Th Ave S
Fargo, ND 581046027
(701) 361-2286 - Additional location
-
2800 Cleveland Ave N
Roseville, MN 551131126
(651) 642-1825 - Mailing address
-
4500 36Th Ave S Ste 100
Fargo, ND 581045275
Show 2 more locations
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- October 25, 2019
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (3)
- North Dakota #R30131 · Minnesota #R144003-8 · Wisconsin #149297-030
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1982739900. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$116
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $97.50 | |
| REVANCE THERAPEUTICS, INC. | 1 | $18.45 |
By nature of payment
Frequently asked questions
What is Dr. Brandi Wallace's medical specialty?
Dr. Brandi Wallace practices Family Nurse Practitioner in Fargo, ND.
Where does Dr. Brandi Wallace practice?
Dr. Brandi Wallace practices at 4622 40Th Avenue South, Fargo, ND 581044394. Office phone: 7013642909.
What is Dr. Brandi Wallace's NPI?
Dr. Brandi Wallace's National Provider Identifier (NPI) is 1982739900, issued by NPPES.