Wade, Linda Marie
Wade, Linda Marie is an individual health care provider with primary practice located at 601 W Due West Ave , Madison TN 37115-4423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wade, Linda Marie can be contacted via phone (615) 227-3000.Contact Information
Primary practice address
601 W Due West Ave
Madison TN 37115-4423
Phone: (615) 227-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 06470 | Tennessee |
Profile Details
| NPI number | 1760676456 |
|---|---|
| LBN Legal business name | Wade, Linda Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Jul 12th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760676456 | NPPES |
| Tennessee | Other | 10077506 | AMERIGROUP |
| Tennessee | Other | 621688899 | AMERIGROUP |
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