Wade, Nancy Earline

Wade, Nancy Earline is an individual health care provider with primary practice located at 738 N Parkwood Rd , Decatur GA 30030-5024. She recently has only one registered license in Nursing Service Providers / Enterostomal Therapy, which is considered as her primary health care specialty. Wade, Nancy Earline can be contacted via phone (678) 612-2456.

Contact Information

Primary practice address
738 N Parkwood Rd Decatur GA 30030-5024
Fax: (404) 378-5761
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Enterostomal Therapy 163WE0900X RN088948 Georgia

Profile Details

NPI number 1780744177
LBN Legal business name Wade, Nancy Earline
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780744177 NPPES
Georgia Other 83-02690 UNITED HEALTHCARE

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