| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHRISTINA WADE | 1508336470 | 2024-04-05 |
Christina Marie Wade [F] graduated in 2018 and primarily specializes in Nurse Practitioner.
Christina Wade is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508336470. Registration indicates Christina Wade is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 1254667397 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Christina Wade |
| Practice Office Address | 310 E HOSKINS ST NEW BOSTON, TX US |
| Practice Office Telephone | 9036287877 |
| Mailing Address | 310 E HOSKINS ST NEW BOSTON, TX 755702727 US |
| Business Telephone | 9036287877 |
| Business Fax | 9036287876 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | AP139080
TX |
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP139080
TX |
| 400234701 | MEDICAID | TX | |
| AP139080 | OTHER | TX | APRN LICENSE |
| 27870 | OTHER | TX | PRESCRIPTIVE AU |