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Individual

STEVEN P WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
726 S CHURCH ST, MURFREESBORO, TN 37130-4926
(615) 893-7786
(615) 620-2323
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 893-7786
(615) 620-2323

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN091902
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN09806
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36254263
TN
01
4166263
BC/BS OF TN - SAC
TN
01
4233803
BC/BS OF TN - DOUBLE O
TN
Enumeration date
05/20/2006
Last updated
08/23/2010
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