Individual
PAMELA MAE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 AVALON AVE, MUSCLE SHOALS, AL 35661-2805
(256) 768-9191
(256) 768-9775
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 768-9191
(256) 768-9775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-033363
AL
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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