Individual
CHRISTINA ANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
12403 MULLER SKY CT, TOMBALL, TX 77377-1519
(832) 633-5963
Mailing address
12403 MULLER SKY CT, TOMBALL, TX 77377-1519
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
685064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685064
TEXAS NURSING LICENSE
TX
Enumeration date
05/24/2011
Last updated
04/30/2012
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