NPI 1043640105

Elizabeth Wade

Practitioner Licensed Practical Nurse Grand Blanc, MI

Practice location

Address: 3108 Thornridge Dr, Grand Blanc, MI 48439-8987
Phone: (989) 590-3554

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703050082 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1043640105
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2013
Record last updated: 26 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.