Individual provider · Type 1 NPI

Carol Ann Wade, NURSE PRACTITIONER

Pediatric Nurse Practitioner · Rosebud, SD

NPI number 1295767416 Active

Practice location

Rosebud Ihs Hospital Soldier Creek Road
Rosebud, SD 57570-0400

Call (605) 747-2231 Map

Mailing address

PO Box 400
Rosebud, SD 57570-0400

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	R021834 (SD)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1295767416

Carol Ann Wade, NURSE PRACTITIONER's National Provider Identifier is 1295767416, issued on Jul 7, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rosebud, SD. The record was last updated on Jul 8, 2007.