Nneka Marie Wade
Specialist/Technologist, Athletic Trainer in Fort Worth, TX. Individual provider (NPI-1).
NPI number1447928056
StatusActive
Last updated in NPPESAug 31, 2021
Details
- NPI
- 1447928056
- Entity type
- Individual (NPI-1)
- Name
- Nneka Marie Wade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2021
- Certification date
- Aug 31, 2021
- Last updated
- Aug 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1201 Wesleyan StFort Worth, TX 76105-1536
Phone 817-531-4876
Mailing address
1201 Wesleyan StFort Worth, TX 76105-1536
Phone 817-531-4876
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