Individual
MICHELLE ANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386
(802) 773-4578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0098687
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102349
—
VT
Enumeration date
10/14/2013
Last updated
08/17/2016
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