Most Relevant Information
Provider Data
| NPI Number: | 1003506759 |
| Provider Name: | CHA QUANDA WADE APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9332138 |
Most Important Dates
| Enumeration Date: | 05/08/2023 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
2619 SHILO CT
VALRICO
FL
335966322
Practice Location Phone/Fax
| Phone: | 8135083197 |
| Fax: |
Provider Mailing Location
2619 SHILO CT
VALRICO
FL
335966322
Provider Mailing Phone/Fax
| Phone: | 8135083197 |
| Fax: |