Wade, Michelle Ann

Wade, Michelle Ann is an individual health care provider with primary practice located at 71 Allen St Ste 403, Rutland VT 05701-4570. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wade, Michelle Ann can be contacted via phone (802) 772-4414.

Contact Information

Primary practice address
71 Allen St Ste 403 Rutland VT 05701-4570
Phone: (802) 772-4414
Fax: (802) 772-7973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101.0098687 Vermont

Profile Details

NPI number 1437587268
LBN Legal business name Wade, Michelle Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2013
Last updated Aug 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437587268 NPPES
Vermont MEDICAID 102349

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