Individual provider · Type 1 NPI

Ellin Wade, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Newark, DE

NPI number 1417113309 Active

Practice location

910 S Chapel St, Suite 102
Newark, DE 19713-3467

Fax (302) 224-1402

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X13502 (TN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XL8-0000116 (DE)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1417113309

Ellin Wade, PMHNP-BC's National Provider Identifier is 1417113309, issued on Jul 31, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, DE. The record was last updated on Apr 23, 2013.