Wilda Faye Wade in Greensboro - Dietitian, Registered

Wilda Faye Wade - NPI 1609086511

Wilda Faye Wade is a Dietitian, Registered in Greensboro, North Carolina. Wilda Faye Wade practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Wilda Faye Wade is 1609086511. The last update date is 2008-03-17.

Wilda Faye Wade's current location address is 2007 Yanceyville St # 91, Greensboro, North Carolina. You can contact this provider via phone number 3365425545. The mailing address for Wilda Faye Wade is 2007 Yanceyville St # 91, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Wilda Faye Wade
Address 2007 Yanceyville St # 91, Greensboro, North Carolina
Phone Number 3365425545
Fax Number
Sole Proprietor Y
Credentials PH.D.,RD,

NPI Number Detail

NPI Number 1609086511
Provider Enumeration Date 2007-05-23
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 2007 Yanceyville St # 91
City Greensboro
State North Carolina (NC)
Post Code 274055000
Phone Number 3365425545
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No L001066
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14306 NC BLUE CROSS BLUE SHIELD

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FAQs about Wilda Faye Wade

What is the unique 10-digit identification code issued to Wilda Faye Wade by the Centers for Medicare & Medicaid Services?

The Wilda Faye Wade has been assigned the NPI (National Provider Identifier) 1609086511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Wilda Faye Wade?

The Wilda Faye Wade is physically situated at 2007 Yanceyville St # 91, in the city of Greensboro, state of NC, with the postal code 274055000.

What is Wilda Faye Wade's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Wilda Faye Wade is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

On what date did the Wilda Faye Wade receive the assignment of its 1609086511 from the Centers for Medicare & Medicaid Services?

The Wilda Faye Wade was issued its 1609086511 by the Centers for Medicare & Medicaid Services on 2007-05-23.

When was the information pertaining to Wilda Faye Wade most recently updated or revised?

The details related to Wilda Faye Wade, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-17.

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