Individual provider · Type 1 NPI

Breeana Nicole Wade, DO

Student in an Organized Health Care Education/Training Program · Casper, WY

NPI number 1366388084 Active

Practice location

1522 E A St
Casper, WY 82601-2221

Call (307) 234-6161 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366388084

Breeana Nicole Wade, DO's National Provider Identifier is 1366388084, issued on Apr 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Casper, WY. The record was last updated on Jun 11, 2026.