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Individual
ROBERT ALAN WADE
Active
Individual
ROBERT ALAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1070477
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-070477
ALABAMA BOARD OF NURSING
AL
Enumeration date
01/30/2008
Last updated
06/14/2022
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