Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA BERGEN WADE, APRN
ActivePsychiatric/Mental Health Nurse Practitioner · CAPTAIN COOK, HI
Registration Details
- NPI Number
- 1063497758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2005 (20.353496111986 yrs)
- Last Updated
- Jan 23, 2019
- Licenses
-
7512 (CA)APRN - 1950 (HI)7512 (CA)509869 (CA)7512 (CA)
Practice Information
- Address
-
83-5737 KANELE STCAPTAIN COOK, HI, 96704Browse HI providers · Browse ZIP 96704
- Phone
- 8083335977
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.