person
Wade Gillard, FNP-C
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1982223087

Wade Gillard is a Family Nurse Practitioner based in Lake Charles, LA and is specialized in Family. Wade Gillard practices in Lake Charles, LA and has the professional credentials of FNP-C. The NPI Number for Wade Gillard is 1982223087 and holds a License No. 212171 (Louisiana).

The current practice location address for Wade Gillard is 4201 Nelson Rd Ste 100, Lake Charles, LA and can be reached out via phone at 337-310-2273 and via fax at 337-310-4520.

Location: 4201 Nelson Rd Ste 100, Lake Charles, LA, 70605-4187
person
Provider Profile Details
NPI Number
1982223087
Provider Name
Wade Gillard
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
4201 Nelson Rd Ste 100, Lake Charles, LA, 70605-4187
Phone Number
337-310-2273
Fax Number
337-310-4520
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2573063 05 LA
institution
Provider Business Practice Location Address Details
Address
4201 Nelson Rd Ste 100
City
State
Zip
70605-4187
Phone Number
337-310-2273
Fax Number
337-310-4520
person
Provider Business Mailing Address Details
Address
4201 Nelson Rd Ste 100
City
State
Zip
70605-4187
Phone Number
337-310-2273
Fax Number
337-310-4520
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
212171 (Louisiana)
Definition
Definition to come...
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