Ellin Wade is a Psychiatric/mental Health in Newark, Delaware. Ellin Wade practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Ellin Wade is 1417113309. The last update date is 2013-04-23.
Ellin Wade's current location address is 910 S Chapel St, Newark, Delaware. You can contact this provider via phone number 3022241400 and fax number 3022241402. The mailing address for Ellin Wade is 910 S Chapel St, Newark, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellin Wade |
|---|---|
| Address | 910 S Chapel St, Newark, Delaware |
| Phone Number | 3022241400 |
| Fax Number | 3022241402 |
| Sole Proprietor | Y |
| Credentials | PMHNP-BC |
NPI Number Detail
| NPI Number | 1417113309 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2013-04-23 |
Provider Mailing Address Detail
| Address | 910 S Chapel St |
|---|---|
| City | Newark |
| State | Delaware (DE) |
| Post Code | 197133467 |
| Phone Number | 3022241400 |
| Fax Number | 3022241402 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 13502 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1519530 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ellin Wade by the Centers for Medicare & Medicaid Services?
The Ellin Wade has been issued the NPI (National Provider Identifier) 1417113309, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ellin Wade's physical address?
The Ellin Wade is physically located at 910 S Chapel St, in the city of Newark, DE, with the postal code 197133467.
What is Ellin Wade's area of expertise and its corresponding taxonomy classification?
The Ellin Wade's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 363Lp0808X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ellin Wade receive the assignment of its 1417113309 from the Centers for Medicare & Medicaid Services?
The Ellin Wade was issued its 1417113309 by the Centers for Medicare & Medicaid Services on 2008-07-31.
As of what date was the information regarding Ellin Wade, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ellin Wade, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-23.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN