Individual provider · Type 1 NPI

Coty Darnell Wade, CRNP

Family Nurse Practitioner · Centreville, AL

NPI number 1144305053 Active

Practice location

195 Hospital Dr
Centreville, AL 35042-2935

Mailing address

11954 Foundry Cir
Mc Calla, AL 35111-2590

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse 163WG0600X1-097913 (AL)
Family Nurse Practitioner Primary 363LF0000X1-097913 (AL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1144305053

Coty Darnell Wade, CRNP's National Provider Identifier is 1144305053, issued on Oct 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Centreville, AL. The record was last updated on Aug 1, 2013.