Individual
KIRSTEN ANGELIQUE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6109 S COOPER ST, ARLINGTON, TX 76001-5814
(866) 492-5008
Mailing address
803 SIERRA AVE, MANSFIELD, TX 76063-1887
(972) 249-5561
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP122926
TX
Other
Enumeration date
07/14/2006
Last updated
01/29/2025
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