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Wade Hollingshead, FNP
Family Nurse Practitioner in Beaver, Utah
NPI 1962438895

Wade Hollingshead is a Family Nurse Practitioner based in Beaver, UT and is specialized in Family. Wade Hollingshead practices in Beaver, UT and has the professional credentials of FNP. The NPI Number for Wade Hollingshead is 1962438895 and holds a License No. 4813074-4405 (Utah).

The current practice location address for Wade Hollingshead is 1059 N 100 W, Beaver, UT and can be reached out via phone at 435-438-7280 and via fax at 435-438-7210.

Location: 1059 N 100 W, Beaver, UT, 84713-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962438895
Provider Name
Wade Hollingshead
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1059 N 100 W, Beaver, UT, 84713-1690
Phone Number
435-438-7280
Fax Number
435-438-7210
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4813074-4408 01 UT STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1059 N 100 W
City
Beaver
State
Utah
Zip
84713-1690
Phone Number
435-438-7280
Fax Number
435-438-7210
person
Provider Business Mailing Address Details
Address
1059 N 100 W
City
Beaver
State
Utah
Zip
84713-1690
Phone Number
435-438-7280
Fax Number
435-438-7210
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4813074-4405 (Utah)
Definition
Definition to come...
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