person
Ms. Mary Lynette Wade, RN,CFNP
Family Nurse Practitioner in Farmerville, Louisiana
NPI 1710953195

Mary Lynette Wade is a Family Nurse Practitioner based in Farmerville, LA and is specialized in Family. Mary Lynette Wade practices in Farmerville, LA and has the professional credentials of RN,CFNP. The NPI Number for Mary Lynette Wade is 1710953195 and holds a License No. RN035495 3693 (Louisiana).

The current practice location address for Mary Lynette Wade is 1025 Marion Hwy, Farmerville, LA and can be reached out via phone at 318-368-9745 and via fax at 318-368-0072.

Location: 1025 Marion Hwy, Farmerville, LA, 71241-8161
person
Provider Profile Details
NPI Number
1710953195
Provider Name
Mary Lynette Wade
Credential
RN,CFNP
Provider Entity Type
Individual
Gender
Female
Address
1025 Marion Hwy, Farmerville, LA, 71241-8161
Phone Number
318-368-9745
Fax Number
318-368-0072
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110484125B 01 LA BLUE CROSS BLUE SHIELD
1433179 05 LA
institution
Provider Business Practice Location Address Details
Address
1025 Marion Hwy
City
State
Zip
71241-9314
Phone Number
318-368-9745
Fax Number
318-368-0072
person
Provider Business Mailing Address Details
Address
1025 Marion Hwy
City
State
Zip
71241-9314
Phone Number
318-368-9745
Fax Number
318-368-0072
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN035495 3693 (Louisiana)
Definition
Definition to come...
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