Organization
WADE'S CARE FIRST NURSE PRACTITIONER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDWARD WADE (NURSE PRACTITIONER)
(219) 670-6083
Entity
Organization
Contact information
Practice address
7287 JESSMAN ROAD WEST DR APT C, INDIANAPOLIS, IN 46256-4170
(219) 670-6083
Mailing address
7287 JESSMAN ROAD WEST DR APT C, INDIANAPOLIS, IN 46256-4170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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