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Stacy Wade, NP
Family Nurse Practitioner in Fort Myers, Florida
NPI 1770742462

Stacy Wade is a Family Nurse Practitioner based in Fort Myers, FL and is specialized in Family. Stacy Wade practices in Fort Myers, FL and has the professional credentials of NP. The NPI Number for Stacy Wade is 1770742462 and holds a License No. 28150715A (Florida).

The current practice location address for Stacy Wade is 2780 Cleveland Ave Ste 819, Fort Myers, FL and can be reached out via phone at 239-343-3800 and via fax at 239-343-3993.

Location: 2780 Cleveland Ave Ste 819, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770742462
Provider Name
Stacy Wade
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2780 Cleveland Ave Ste 819, Fort Myers, FL, 33902-2147
Phone Number
239-343-3800
Fax Number
239-343-3993
Provider Enumeration Date
06/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200903990 05 IN
P01307686 01 IN MEDICARE RR PTAN
112417400 05 FL
institution
Provider Business Practice Location Address Details
Address
2780 Cleveland Ave Ste 819
City
Fort Myers
State
Florida
Zip
33901-5817
Phone Number
239-343-3800
Fax Number
239-343-3993
person
Provider Business Mailing Address Details
Address
2780 Cleveland Ave Ste 819
City
Fort Myers
State
Florida
Zip
33901-5817
Phone Number
239-343-3800
Fax Number
239-343-3993
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71002094A (Indiana)
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.
28150715A (Indiana)
Definition
Definition to come...
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