Individual provider · Type 1 NPI

Tynesha Wade, CPNP-AC

Critical Care Pediatric Nurse Practitioner · Orange, CA

NPI number 1487591483 Active

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Mailing address

13064 Thicket Pl
Corona, CA 92883-6347

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X95038465 (CA)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1487591483

Tynesha Wade, CPNP-AC's National Provider Identifier is 1487591483, issued on Apr 29, 2026. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Orange, CA. The record was last updated on Apr 29, 2026.