Individual
KRISTY A WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP,APRN,PMHNP
Contact information
Practice address
2110 GALLOWS RD STE D, VIENNA, VA 22182-3962
(703) 592-4600
(703) 592-4601
Mailing address
2110 GALLOWS RD STE D, VIENNA, VA 22182-3962
(703) 592-4600
(703) 592-4601
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024185007
VA
Other
Enumeration date
09/06/2022
Last updated
02/19/2026
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