Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Ann Wade, RNIBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1548479918

Georgia Ann Wade, RNIBCLC is a Lactation Consultant (Registered Nurse) in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

100 N 67th St
Broken Arrow, OK 74014-6945
Phone: (918) 357-1404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence R0033022 (OK)

Record details

NPI number1548479918
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNIBCLC
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007

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