Individual
MICHELLE LEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1411 S POTOMAC ST, STE 360, AURORA, CO 80012-4536
(303) 327-4700
(303) 327-4711
Mailing address
130 RAMPART WAY, 300B, DENVER, CO 80230-6440
(303) 327-4700
(303) 327-4711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
129293
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59153563
—
CO
Enumeration date
01/26/2006
Last updated
07/08/2007
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