Individual
MRS. KAYLA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
5604 GREEN MEADOW RD, ROANOKE, VA 24018-3228
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001281003
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189423
VA
Other
Enumeration date
02/15/2023
Last updated
02/18/2024
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