Individual
MS. SUSAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12440 MAC ALISTER WAY UNIT 107, NEW BERLIN, WI 53151-8326
(919) 357-3028
Mailing address
12440 MAC ALISTER WAY UNIT 107, NEW BERLIN, WI 53151-8326
(919) 357-3028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73131-30
WI
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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