person
Georgia Ann Wade, RNIBCLC
Lactation Consultant (Registered Nurse) in Broken Arrow, Oklahoma
NPI 1548479918

Georgia Ann Wade is a Lactation Consultant (Registered Nurse) based in Broken Arrow, OK and is specialized in Lactation Consultant. Georgia Ann Wade practices in Broken Arrow, OK and has the professional credentials of RNIBCLC. The NPI Number for Georgia Ann Wade is 1548479918 and holds a License No. R0033022 (Oklahoma).

The current practice location address for Georgia Ann Wade is 100 N 67Th St, Broken Arrow, OK and can be reached out via phone at 918-357-1404.

Location: 100 N 67Th St, Broken Arrow, OK, 74014-6945
person
Provider Profile Details
NPI Number
1548479918
Provider Name
Georgia Ann Wade
Credential
RNIBCLC
Provider Entity Type
Individual
Gender
Female
Address
100 N 67Th St, Broken Arrow, OK, 74014-6945
Phone Number
918-357-1404
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R0033022 01 OK REGISTERED NURSE
163WL0100X 01 OK RN. LACTATION CONSULTANT
institution
Provider Business Practice Location Address Details
Address
100 N 67Th St
City
State
Zip
74014-6945
Phone Number
918-357-1404
Fax Number
person
Provider Business Mailing Address Details
Address
100 N 67Th St
City
State
Zip
74014-6945
Phone Number
918-357-1404
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
R0033022 (Oklahoma)
Definition
Definition to come...
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