Individual
MRS. HEATHER NOELLE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
722 LOUGHBOROUGH AVE, SAINT LOUIS, MO 63111-2732
(314) 833-4030
Mailing address
5501 DELMAR BLVD STE B560, SAINT LOUIS, MO 63112-3084
(314) 833-4030
(314) 833-4031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012015596
MO
Other
Enumeration date
11/29/2011
Last updated
12/11/2023
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