Individual
BRIAN A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7430
Mailing address
3480 EXETER CT, BELLE ISLE, FL 32812-6029
(407) 491-5254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11015250
FL
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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