Individual
MRS. GINGER RENEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21764 OMEGA CT, GOSHEN, IN 46528-7809
(574) 891-4920
Mailing address
21764 OMEGA CT, GOSHEN, IN 46528-7809
(574) 891-4920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28193007A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009535A
IN
Other
Enumeration date
10/02/2019
Last updated
10/17/2023
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