MS. SHIRLEY FREEMAN WADE FNP-C NPI 1831250166

NPI Information

NPI: 1831250166
Provider Name: MS. SHIRLEY FREEMAN WADE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ST GABRIEL HEALTH CLINIC INC

PECOS Registration: Yes

Address:
7855 HOWELL BLVD
SUITE 200
BATON ROUGE, LA
ZIP 70807
Phone: (225) 454-6000
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MS. Shirley Freeman Wade, FNP-C is a family nurse practitioner in Baton Rouge, LA with 24 years of experience. MS. Shirley Freeman Wade, FNP-C NPI is 1831250166. 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:

7855 HOWELL BLVD
SUITE 200
BATON ROUGE, LA
ZIP 70807
Phone: (225) 454-6000
Fax: (225) 454-6015

The NPI 1831250166 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 12/12/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	03750	LOUISIANA	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
1	P69868	MEDICARE UPIN	LOUISIANA
2	4C431	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
3	1141372	MEDICAID	LOUISIANA

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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