Judi Gail Wade, RN
Registered Nurse, Psych/Mental Health in Harrison Township, MI. Individual provider (NPI-1).
NPI number1609007657
StatusActive
Last updated in NPPESAug 6, 2009
Details
- NPI
- 1609007657
- Entity type
- Individual (NPI-1)
- Name
- Judi Gail Wade
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2009
- Last updated
- Aug 6, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 4704155759 | MI | Yes |
Practice location
39161 Shoreline DrHarrison Township, MI 48045-1799
Phone 586-944-1052
Mailing address
39161 Shoreline DrHarrison Township, MI 48045-1799
Phone 586-944-1052
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