Ashley Brooke Wallen, PA-C

NPI #1023515327 in Omaha, Nebraska

Provider Information

NPI Number: 1023515327
Entity Type: Individual
Name: Ashley Brooke Wallen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 11819 MIRACLE HILLS DR STE 105
City: Omaha
State: Nebraska
ZIP Code: 68154-4428
Phone: (402) 905-2075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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