Individual
MRS. JOY MARIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, BA
Contact information
Practice address
255 NORTH SMITH AVE, SUITE #100, ST PAUL, MN 55102
(651) 292-0616
Mailing address
255 NORTH SMITH AVE, SUITE #100, ST PAUL, MN 55102
(651) 292-0616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 168393-4
MN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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