THERESA WADE APRN LLC NPI 1861850570

NPI Information

  • NPI: 1861850570
  • Provider Name: THERESA WADE, APRN LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 79-7446 MAMALAHOA HWY
    KEALAKEKUA, HI
    ZIP 96750
  • Phone: (808) 393-0677

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NPI Details

THERESA WADE, APRN LLC is a psychiatric/mental health nurse practitioner in Kealakekua, HI. THERESA WADE, APRN LLC NPI is 1861850570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

79-7446 MAMALAHOA HWY
KEALAKEKUA, HI
ZIP 96750-913
Phone: (808) 393-0677

The provider's authorized official is Theresa Wade .
The authorized official title is Sole Proprietor and has the following contact phone number (808) 333-5977.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN-1950HAWAIIYes

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: 3/30/2025

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