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
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 95038465 (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.