Individual
MILLESIA A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
(240) 370-1143
Mailing address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R217828
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R217828
MD
Other
Enumeration date
04/27/2018
Last updated
05/28/2024
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