Individual provider · Type 1 NPI

Dustin Wade

Family Nurse Practitioner · Shawnee, OK

NPI number 1013323336 Active

Practice location

2508 N Harrison St
Shawnee, OK 74804-3131

Mailing address

821 E Veterans Memorial Hwy
Blanchard, OK 73010-9215

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X91102 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1013323336

Dustin Wade's National Provider Identifier is 1013323336, issued on Jul 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shawnee, OK. The record was last updated on Jun 13, 2023.