DR. FREDIA STOVALL WADLEY NPI 1356793863

NPI Information

NPI: 1356793863
Provider Name: DR. FREDIA STOVALL WADLEY
Classification: Public Health or Welfare - 251K00000X
Entity Type: Individual
Address:
100 S HANSON ST
EASTON, MD
ZIP 21601
Phone: (410) 819-5606
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DR. Fredia Stovall Wadley is a public health or welfare in Easton, MD. DR. Fredia Stovall Wadley NPI is 1356793863. 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:

100 S HANSON ST
EASTON, MD
ZIP 21601-920
Phone: (410) 819-5606
Fax: (410) 819-4703

The enumeration date for this NPI number is 7/8/2016 and was last updated on 7/8/2016.

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	208000000X	Pediatrics		D0066574	MARYLAND	No
2	251K00000X	Public Health or Welfare				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	M87082	OTHER	MARYLAND	STATE OF MARYLAND CDS NUMBER

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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