Individual provider · Type 1 NPI

Tyesha Rochelle Wade, LPN

Licensed Practical Nurse · Columbia, SC

NPI number 1093408320 Active

Practice location

3616 Kelford Dr
Columbia, SC 29209-4329

Call (803) 521-2848 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X50188 (SC)

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 1093408320

Tyesha Rochelle Wade, LPN's National Provider Identifier is 1093408320, issued on Jun 1, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbia, SC. The record was last updated on Jun 1, 2023.