Individual provider · Type 1 NPI
Patrice Wade-Olson
Primary Care Nurse Practitioner · Detroit, MI
NPI number
1326475757
Active
Practice location
4201 St. Antione Uhc 5F, University Pediatricians
Detroit, MI 48201
Fax (313) 745-0940
Mailing address
1726 Howard St
Detroit, MI 48216-1921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704263609 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704263609 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1326475757
Patrice Wade-Olson's National Provider Identifier is 1326475757, issued on Sep 30, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on Jan 13, 2020.