Individual
HEATHER RYANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7497 RIGHT FLANK RD, MECHANICSVILLE, VA 23116-3847
(804) 746-8020
Mailing address
7497 RIGHT FLANK RD, MECHANICSVILLE, VA 23116-3847
(804) 746-8020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173517
VA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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