IndividualActive
Carlyn Wade
NPI 1033447396 · Specialist · Santa Fe, NM
Provider details
- NPI number
- 1033447396
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4553 (NM)
Practice location
2446 Avenida Chapparal
Santa Fe, NM 87505-5500
Phone: (505) 474-5969
Mailing address
2446 Avenida Chapparal
Santa Fe, NM 87505-5500
Registry dates
- Enumerated
- 2009-11-25
- Last updated
- 2009-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.