MARY J WADE NPI 1689687824

NPI Information

NPI: 1689687824
Provider Name: MARY J WADE
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-6600
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Mary J Wade is an adult health nurse practitioner in Birmingham, AL. Mary J Wade NPI is 1689687824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-6600

The NPI 1689687824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 2/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	1064337	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051504939	MEDICAID	ALABAMA
2	06078723	OTHER	ALABAMA	MS MEDICAID
3	051504939	OTHER	ALABAMA	BCBS OF AL
4	500021310	OTHER	ALABAMA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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