NPI 1174440648

Shieata Wade

Practitioner Peer Specialist Peoria, AZ

Practice location

Address: 9608 W El Caminito Dr, Peoria, AZ 85345-7739
Phone: (602) 621-6258

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1174440648
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2026
Record last updated: 3 Jul 2026

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.