MS. MARY LYNETTE WADE RN CFNP NPI 1710953195

NPI Information

  • NPI: 1710953195
  • Provider Name: MS. MARY LYNETTE WADE, RN, CFNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1025 MARION HWY
    FARMERVILLE, LA
    ZIP 71241
  • Phone: (318) 368-9745

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NPI Details

MS. Mary Lynette Wade, RN, CFNP is a family nurse practitioner in Farmerville, LA. MS. Mary Lynette Wade, RN, CFNP NPI is 1710953195. 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:

1025 MARION HWY
FARMERVILLE, LA
ZIP 71241-314
Phone: (318) 368-9745
Fax: (318) 368-0072

The enumeration date for this NPI number is 2/27/2006 and was last updated on 12/23/2009.

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
1363LF0000XNurse PractitionerFamilyRN035495 3693LOUISIANAYes

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
14B645F780MEDICARE OSCAR/CERTIFICATIONLOUISIANA
2110484125BOTHERLOUISIANABLUE CROSS BLUE SHIELD
3P18569MEDICARE UPINLOUISIANA
41433179MEDICAIDLOUISIANA

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: 11/21/2025

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