Individual
VIRGINIA L WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
102 HANDLEY PARK CT, GOLDSBORO, NC 27534-1768
(919) 734-3344
(919) 735-3025
Mailing address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
(252) 522-9854
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13053
AMERICAN MIDWIFERY CERTIFICATION
NC
Enumeration date
09/09/2009
Last updated
12/13/2019
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