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Ms. Theresa Bergen Wade, APRN
Family Nurse Practitioner in Captain Cook, Hawaii
NPI 1063497758

Theresa Bergen Wade is a Family Nurse Practitioner based in Captain Cook, HI and is specialized in Family. Theresa Bergen Wade practices in Captain Cook, HI and has the professional credentials of APRN. The NPI Number for Theresa Bergen Wade is 1063497758 and holds a License No. 7512 (Hawaii).

The current practice location address for Theresa Bergen Wade is 83-5737 Kanele St, Captain Cook, HI and can be reached out via phone at 808-333-5977.

Location: 83-5737 Kanele St, Captain Cook, HI, 96704-8329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063497758
Provider Name
Theresa Bergen Wade
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
83-5737 Kanele St, Captain Cook, HI, 96704-8329
Phone Number
808-333-5977
Fax Number
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
83-5737 Kanele St
City
Captain Cook
State
Hawaii
Zip
96704
Phone Number
808-333-5977
Fax Number
person
Provider Business Mailing Address Details
Address
83-5737 Kanele St
City
Captain Cook
State
Hawaii
Zip
96704
Phone Number
808-333-5977
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
7512 (California)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN - 1950 (Hawaii)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
7512 (California)
Definition
Definition to come...
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