Individual provider · Type 1 NPI

Brian A. Wade

Family Nurse Practitioner · Grants Pass, OR

NPI number 1114641370 Active

Practice location

500 SW Ramsey Ave
Grants Pass, OR 97527-5554

Mailing address

3480 Exeter Ct
Belle Isle, FL 32812-6029

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11015250 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1114641370

Brian A. Wade's National Provider Identifier is 1114641370, issued on Sep 30, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants Pass, OR. The record was last updated on Sep 30, 2022.