Wade, Mandi H

Wade, Mandi H is an individual health care provider with primary practice located at 4040 Palm Beach Blvd Ste F , Fort Myers FL 33916-3470. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wade, Mandi H can be contacted via phone (239) 343-7100.

Contact Information

Primary practice address
4040 Palm Beach Blvd Ste F Fort Myers FL 33916-3470
Phone: (239) 343-7100
Fax: (239) 343-7190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9277738 Florida

Profile Details

NPI number 1033432265
LBN Legal business name Wade, Mandi H
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033432265 NPPES
Florida MEDICAID 001942600

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