| NPI | 1063025302 |
|---|---|
| Former Legal Business Name | A.M. WADE NUTRITION GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT MARTY COO 412-726-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-02-15 |