Individual
ANDREA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
351 N MOUNTAIN VIEW AVE FAS, SAN BERNARDINO, CA 92415-3115
(760) 326-9230
(760) 326-9355
Mailing address
1406 BAILEY AVE, SUITE D, NEEDLES, CA 92363-3115
(760) 326-9230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002331
CA
Other
Enumeration date
04/14/2015
Last updated
01/21/2020
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