Lisa Marie Wade

NPI 1710379201 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1710379201
Gender Female
Enumeration Date 02/20/2015
Last Updated 02/20/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
805 N KENTUCKY AVE
WEST PLAINS MO, 65775-2022, US
Phone (417) 256-2111
Fax
Business Location
2811 GINGER DR
WEST PLAINS MO, 65775-1571, US
Phone (417) 293-2210
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 2007023584
Remove 1710379201 NPI Number
 

According to our database, Lisa Marie Wade NPI is 1710379201, taxonomy code is 363LF0000X and license number is 2007023584, license state is located at Missouri. Lisa Marie Wade physically located at 805 N Kentucky Ave, West Plains MO, 65775-2022. NPI Number Lisa Marie Wade has the Individual type.

Sponsored links

1710379201 NPI number is provided on an as is basis without warranty of any kind. 1710379201 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marie Wade are for informational purposes only.