MS. Theresa Bergen Wade, APRN

NPI #1063497758 in Captain Cook, Hawaii

Provider Information

NPI Number
1063497758
Entity Type
Individual
Name
MS. Theresa Bergen Wade, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
APRN
Enumeration Date
Dec 14, 2005
Last Updated
Jan 23, 2019

Practice Location

Address
83-5737 KANELE ST
State
Hawaii
ZIP Code
96704
Phone
(808) 333-5977

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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