Individual
SCARLETT ANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
414 5TH AVE, ALBANY, GA 31701-1976
(229) 883-4555
(229) 888-0063
Mailing address
414 5TH AVE, ALBANY, GA 31701-1976
(229) 883-4555
(229) 883-4555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN204241
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN204241
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN204241
GEORGIA NP LICENSE
GA
Enumeration date
09/29/2015
Last updated
06/21/2022
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