Mary L Wade RN

NPI 1609072024 - Registered Nurse - 163W00000X

NPI Details
NPI 1609072024
Gender Female
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3155 ROYAL DRIVE
SUITE 125 NORTH FULTON REGIONAL HEALTH CENTER
ALPHARETTA GA, 30022, US
Phone (404) 332-1876
Fax
Business Location
99 JESSIE HILL JR DRIVE
RM 402 ALDREGE HEALTH CENTER
ATLANTA GA, 30303, US
Phone (404) 730-1217
Fax (404) 730-1233
Toxanomy
Taxonomy Code 163W00000X
License State Georgia
License Number RN147070
Remove 1609072024 NPI Number
 

According to our database, Mrs. Mary L Wade RN NPI is 1609072024, taxonomy code is 163W00000X and license number is RN147070, license state is located at Georgia. Mary L Wade RN physically located at 3155 Royal Drive, Alpharetta GA, 30022. NPI Number Mary L Wade RN has the Individual type.

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1609072024 NPI number is provided on an as is basis without warranty of any kind. 1609072024 is maintained by the National Plan & Provider Enumeration System. The contents of Mary L Wade RN are for informational purposes only.