Individual provider · Type 1 NPI

Avita Wade

Licensed Practical Nurse · Charlotte, NC

NPI number 1023608957 Active

Practice location

5110 Misty Oaks Dr Apt 1813
Charlotte, NC 28269-4397

Call (843) 641-8326 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X089017 (NC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1023608957

Avita Wade's National Provider Identifier is 1023608957, issued on Jan 25, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 25, 2021.