Individual provider · Type 1 NPI

Michelle D. Wade, AGACNP

Nurse Practitioner · Washington, DC

NPI number 1336794049 Active

Practice location

102 Irving St NW
Washington, DC 20010-2921

Mailing address

4681 Desert Rd
Suffolk, VA 23434-7965

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN1048132 (DC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336794049

Michelle D. Wade, AGACNP's National Provider Identifier is 1336794049, issued on Aug 8, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Nov 30, 2021.