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Dustin Wade
Family Nurse Practitioner in Shawnee, Oklahoma
NPI 1013323336

Dustin Wade is a Family Nurse Practitioner based in Blanchard, OK and is specialized in Family. Dustin Wade practices in Shawnee, OK. The NPI Number for Dustin Wade is 1013323336 and holds a License No. 91102 (Oklahoma).

The current practice location address for Dustin Wade is 2508 N Harrison St, Shawnee, OK and can be reached out via phone at 405-585-2030.

Location: 2508 N Harrison St, Shawnee, OK, 73010-9215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013323336
Provider Name
Dustin Wade
Credential
Provider Entity Type
Individual
Gender
Male
Address
2508 N Harrison St, Shawnee, OK, 73010-9215
Phone Number
405-585-2030
Fax Number
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2508 N Harrison St
City
Shawnee
State
Oklahoma
Zip
74804-3131
Phone Number
405-585-2030
Fax Number
person
Provider Business Mailing Address Details
Address
2508 N Harrison St
City
Shawnee
State
Oklahoma
Zip
74804-3131
Phone Number
405-585-2030
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
91102 (Oklahoma)
Definition
Definition to come...
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