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Organization
SANDRA M. WADE, FNP INC.
Active
Organization
SANDRA M. WADE, FNP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M WADE FNP (PRACTITIONER)
(865) 882-2002
Entity
Organization
Contact information
Practice address
2415 N GATEWAY AVE, HARRIMAN, TN 37748-8609
(865) 882-2002
(865) 590-0475
Mailing address
2415 N GATEWAY AVE, HARRIMAN, TN 37748-8609
(865) 882-2002
(865) 590-0475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN000005322
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811966484
SANDRA WADE NPI #
TN
Enumeration date
05/23/2007
Last updated
02/04/2013
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