Shirley Freeman Wade in Baton Rouge - Family

Shirley Freeman Wade - NPI 1831250166

Shirley Freeman Wade is a Family in Baton Rouge, Louisiana. Shirley Freeman Wade practices all healthcare services and medical treatments related to Family. The NPI Number for Shirley Freeman Wade is 1831250166. The last update date is 2007-07-08.

Shirley Freeman Wade's current location address is 7855 Howell Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2254546000 and fax number 2254546015. The mailing address for Shirley Freeman Wade is 7855 Howell Blvd, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley Freeman Wade
Address 7855 Howell Blvd, Baton Rouge, Louisiana
Phone Number 2254546000
Fax Number 2254546015
Sole Proprietor Y
Credentials FNP-C

NPI Number Detail

NPI Number 1831250166
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7855 Howell Blvd
City Baton Rouge
State Louisiana (LA)
Post Code 70807
Phone Number 2254546000
Fax Number 2254546015

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 3750
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1141372 LA --

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FAQs about Shirley Freeman Wade

What is the unique identifier code issued to Shirley Freeman Wade by the Centers for Medicare & Medicaid Services (CMS)?

The Shirley Freeman Wade has been assigned the NPI (National Provider Identifier) 1831250166. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Shirley Freeman Wade located?

The Shirley Freeman Wade is located at 7855 Howell Blvd, Baton Rouge, LA 70807.

What is the Shirley Freeman Wade's specialty and taxonomy code?

The Shirley Freeman Wade's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Shirley Freeman Wade receive the assignment of its 1831250166 from the Centers for Medicare & Medicaid Services?

The Shirley Freeman Wade was issued its 1831250166 by the Centers for Medicare & Medicaid Services on 2006-12-12.

When was the information pertaining to Shirley Freeman Wade most recently updated or revised?

The details related to Shirley Freeman Wade, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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