Individual
ROBERT ALAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1412 ELBA HWY, TROY, AL 36079-6020
(334) 566-8822
(334) 808-8942
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1070477
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-070477
ALABAMA BOARD OF NURSING
AL
Enumeration date
01/30/2008
Last updated
06/14/2022
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