Individual provider · Type 1 NPI
Kerri Randene Wade, APRN, BC, PNP
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1609832757
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Fax (816) 234-3589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 092706 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1609832757
Kerri Randene Wade, APRN, BC, PNP's National Provider Identifier is 1609832757, issued on Apr 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Jan 4, 2012.