Individual provider · Type 1 NPI

Lisa Marie Wade

Family Nurse Practitioner · West Plains, MO

NPI number 1710379201 Active

Practice location

1307 Porter Wagoner Blvd
West Plains, MO 65775-1828

Call (417) 255-8645 Map

Mailing address

2811 Ginger Dr
West Plains, MO 65775-1571

Other practice locations

  • 805 N Kentucky Ave, West Plains, MO 65775-2022 · (417) 256-2111

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2015005062 (MO)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1710379201

Lisa Marie Wade's National Provider Identifier is 1710379201, issued on Feb 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Plains, MO. The record was last updated on Jul 1, 2021.