Individual
BRID M WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2896 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3146
(850) 932-2203
Mailing address
2896 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3146
(850) 932-2203
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
11009095
FL
363L00000X
Nurse Practitioner
11009095
FL
363LF0000X
Family Nurse Practitioner
Primary
11009095
FL
Other
Enumeration date
09/23/2020
Last updated
02/02/2026
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