Individual provider · Type 1 NPI

Dustin Wade, LPN, BSHA, CPHQ

Licensed Practical Nurse · Midlothian, VA

NPI number 1669846648 Active

Practice location

4612 Bridgewood Rd
Midlothian, VA 23112-2812

Call (804) 714-6120 Map

Fax (804) 454-0855

Specialties and licenses

TaxonomyCodeLicense
Nursing Home Administrator 376G00000X0002082700 (VA)
Licensed Practical Nurse Primary 164W00000X0002082700 (VA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1669846648

Dustin Wade, LPN, BSHA, CPHQ's National Provider Identifier is 1669846648, issued on Nov 13, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Midlothian, VA. The record was last updated on Nov 13, 2015.