Doctor Name: | MRS. CAROLINE ANN BADE |
NPI Number: | 1427241413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC FNP MSN |
License Number: | 241893 |
Business Practice Address: | 210 Nelson Suite C Yoakum, TX - 77995 |
Business Phone Number: | 3612937061 |
Business Fax Number: | 3612937892 |
Mailing Address: | 210 Nelson, Suite C YOAKUM |
State: | TX |
Postal Code: | 77995 |
Phone Number: | 3612937061 |
Fax Number: | 3612937892 |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 241893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |