person
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. You can also correspond with Dustin Wade through the mailing address at 821 E VETERANS MEMORIAL HWY, BLANCHARD, OK - 73010-9215 (mailing address contact number: ).

Location: 2508 N Harrison St, Shawnee, OK, 73010-9215
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
State
Zip
74804-3131
Phone Number
405-585-2030
Fax Number
person
Provider Business Mailing Address Details
Address
2508 N Harrison St
City
State
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
License No.
91102 (Oklahoma)
Definition
Definition to come...
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