ELENA WADE

MEDFORD, OR
NPI1952736548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OR  10007541)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: FL  ARNP9263582)
Enumeration Date2013-09-13
Last Update Date2023-06-09
Business Address
ELENA WADE ARNP
616 MARKET ST
MEDFORD, OR 97504-6126
Phone number: 541-535-6239
Mailing Address
ELENA WADE ARNP
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: