Individual
DR. KRISTINE VERA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
1090 NE GATEWAY CT NE, SUITE 101, CONCORD, NC 28025-2414
(704) 403-9100
(704) 403-9104
Mailing address
1090 NE GATEWAY CT NE, SUITE 101, CONCORD, NC 28025-2414
(704) 403-9100
(704) 403-9104
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2932
NC
237600000X
Audiologist-Hearing Aid Fitter
Primary
736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009B
MEDICARE GROUP PTAN
NC
05
—
3404200
—
NC
Enumeration date
09/24/2007
Last updated
07/22/2013
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