NPI 1023608957

Avita Wade

Practitioner Licensed Practical Nurse Charlotte, NC

Practice location

Address: 5110 Misty Oaks Dr APT 1813, Charlotte, NC 28269-4397
Phone: (843) 641-8326

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 089017 (NC)

Other Licensed Practical Nurse providers in North Carolina →

Registry record

NPI: 1023608957
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2021
Record last updated: 25 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.