Individual provider · Type 1 NPI
Andrea Wade, FNP
Family Nurse Practitioner · San Bernardino, CA
NPI number
1801282074
Active
Practice location
351 N Mountain View Ave Fas
San Bernardino, CA 92415-3115
Fax (760) 326-9355
Mailing address
1406 Bailey Ave, Suite D
Needles, CA 92363-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95002331 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801282074
Andrea Wade, FNP's National Provider Identifier is 1801282074, issued on Apr 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 21, 2020.