Individual
ELLIN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
910 S CHAPEL ST, SUITE 102, NEWARK, DE 19713-3467
(302) 224-1400
(302) 224-1402
Mailing address
910 S CHAPEL ST, SUITE 102, NEWARK, DE 19713-3467
(302) 224-1400
(302) 224-1402
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13502
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000116
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519530
—
TN
Enumeration date
07/31/2008
Last updated
04/23/2013
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