Individual
ELIZABETH S WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
529 MAIN ST, SUITE 126, BOSTON, MA 02129-1125
(617) 242-8370
(617) 241-2880
Mailing address
529 MAIN ST, SUITE 126, BOSTON, MA 02129-1125
(617) 242-8370
(617) 241-2880
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
265454
MA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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