Individual
MS. THERESA BERGEN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
83-5737 KANELE ST, CAPTAIN COOK, HI 96704
(808) 333-5977
Mailing address
83-5737 KANELE ST, CAPTAIN COOK, HI 96704-8329
(808) 333-5977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7512
CA
363LF0000X
Family Nurse Practitioner
509869
CA
363LF0000X
Family Nurse Practitioner
7512
CA
363LF0000X
Family Nurse Practitioner
APRN - 1950
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7512
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN - 1950
HI
Other
Enumeration date
12/14/2005
Last updated
01/23/2019
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