Individual provider · Type 1 NPI
Wade Gillard, FNP-C
Family Nurse Practitioner · Lake Charles, LA
NPI number
1982223087
Active
Practice location
4201 Nelson Rd Ste 100
Lake Charles, LA 70605-4187
Fax (337) 310-4520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 212171 (LA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1982223087
Wade Gillard, FNP-C's National Provider Identifier is 1982223087, issued on Apr 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 15, 2022.