Individual
MISS CAROL ANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
ROSEBUD IHS HOSPITAL SOLDIER CREEK ROAD, ROSEBUD, SD 57570-0400
(605) 747-2231
Mailing address
PO BOX 400, ROSEBUD, SD 57570-0400
(605) 747-2231
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R021834
SD
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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