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Tiffany Renae' Wade, NP-C
Family Nurse Practitioner in Tyler, Texas
NPI 1225520505

Tiffany Renae' Wade is a Family Nurse Practitioner based in Tyler, TX and is specialized in Family. Tiffany Renae' Wade practices in Tyler, TX and has the professional credentials of NP-C. The NPI Number for Tiffany Renae' Wade is 1225520505 and holds a License No. AP135663 (Texas).

The current practice location address for Tiffany Renae' Wade is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-593-8441.

Location: 800 E Dawson St, Tyler, TX, 75701-2036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225520505
Provider Name
Tiffany Renae' Wade
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
800 E Dawson St, Tyler, TX, 75701-2036
Phone Number
903-593-8441
Fax Number
Provider Enumeration Date
06/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-593-8441
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-593-8441
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP135663 (Texas)
Definition
Definition to come...
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