Individual
WADE EVERETT OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28167819A
IN
363LA2100X
Acute Care Nurse Practitioner
71010188A
IN
Other
Enumeration date
07/27/2020
Last updated
12/09/2021
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