Individual
MS. SHIRLEY FREEMAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7855 HOWELL BLVD, SUITE 200, BATON ROUGE, LA 70807
(225) 454-6000
(225) 454-6015
Mailing address
3172 SERACEDAR DR, BATON ROUGE, LA 70816-5015
(225) 295-0770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
03750
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141372
—
LA
Enumeration date
12/12/2006
Last updated
07/08/2007
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