Individual
MRS. RONDA ANN BROWN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
4027 HOYT AVE, EVERETT, WA 98201-4920
(425) 304-8476
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60699324
WA
363LF0000X
Family Nurse Practitioner
AP5046
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072443
—
WA
Enumeration date
05/14/2007
Last updated
03/15/2017
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