Wade, Gwen E.

Wade, Gwen E. is an individual health care provider with primary practice located at 4169 N 62Nd St , Milwaukee WI 53216-1234. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wade, Gwen E. can be contacted via phone (414) 438-4006.

Contact Information

Primary practice address
4169 N 62Nd St Milwaukee WI 53216-1234
Phone: (414) 438-4006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1013976778
LBN Legal business name Wade, Gwen E.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1013976778 NPPES
Wisconsin Other 38291600 PROVIDER NUMBER

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