Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35.088997 | OH |
N | 207V00000X | Obstetrician & Gynecologist | MD447963 | PA |
NPI | 1023032695 |
---|---|
Provider Name | Dr. Neely Nelson Wade |
First Address | Chillicothe, OH 45601-8207 |
Second Address | Chillicothe, OH 45601-8207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/12/2020 |