Individual provider · Type 1 NPI

Alexandra Taylor Wade, FNP

Acute Care Nurse Practitioner · Manteca, CA

NPI number 1902648207 Active

Practice location

250 Northgate Dr Ste 102
Manteca, CA 95336-3161

Mailing address

2399 58th St
Sacramento, CA 95817-1724

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X95026359 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1902648207

Alexandra Taylor Wade, FNP's National Provider Identifier is 1902648207, issued on Jun 10, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Manteca, CA. The record was last updated on Jun 10, 2024.