Individual
MS. ELISE MARIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1215 KELTON AVE, PITTSBURGH, PA 15216-2424
(724) 261-8223
Mailing address
1215 KELTON AVE, PITTSBURGH, PA 15216-2424
(724) 261-8223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
01072801
NY
133V00000X
Registered Dietitian
Primary
DN004573
PA
Other
Enumeration date
04/15/2011
Last updated
03/21/2023
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