Joanna J Wade
Nurse Practitioner - Psychiatric/Mental Health
3505 Western Ave Ste A
Kingman
, Arizona 86409-3074
Joanna J Wade
Nurse Practitioner - Psychiatric/Mental Health
3505 Western Ave Ste A
Kingman
, Arizona 86409-3074
(540) 371-3753
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Joanna J Wade
- 600 Jackson St
- Fredericksburg, VA
- Zip : 22401-5719
- Fax : (540) 371-3753
- Phone : (540) 373-3223
Second Address
- Joanna J Wade
- 3505 Western Ave Ste A
- Kingman, AZ
- Zip : 86409-3074
- Fax : (928) 757-1199
- Phone : (928) 757-8111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024173025 | VA |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP8810 | AZ |
National Provider Identifier
| NPI | 1023482627 |
|---|---|
| Provider Name | Joanna J Wade |
| First Address | Fredericksburg, VA 22401-5719 |
| Second Address | Kingman, AZ 86409-3074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2015 |
| Last Update Date | 01/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.