Judith D Wade is a Nurse Practitioner in Beloit, Wisconsin. Judith D Wade practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Judith D Wade is 1558413039. The last update date is 2007-07-08.
Judith D Wade's current location address is 2825 Prairie Ave, Beloit, Wisconsin. You can contact this provider via phone number 6083655500. The mailing address for Judith D Wade is 2825 Prairie Ave, Beloit, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith D Wade |
|---|---|
| Address | 2825 Prairie Ave, Beloit, Wisconsin |
| Phone Number | 6083655500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1558413039 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2825 Prairie Ave |
|---|---|
| City | Beloit |
| State | Wisconsin (WI) |
| Post Code | 535111844 |
| Phone Number | 6083655500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1824 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43889400 | WI | -- | |
| 3985657920011 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Judith D Wade by the Centers for Medicare & Medicaid Services?
The Judith D Wade has been issued the NPI (National Provider Identifier) 1558413039. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judith D Wade is physically located?
The Judith D Wade is situated at the following address: 2825 Prairie Ave, Beloit, WI 535111844.
What is the Judith D Wade's specialty and taxonomy code?
The Judith D Wade's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Judith D Wade receive the assignment of its 1558413039 from the Centers for Medicare & Medicaid Services?
The Judith D Wade was issued its 1558413039 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information pertaining to Judith D Wade most recently updated or revised?
The details related to Judith D Wade, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.