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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AVITA WADE

Active Sole Proprietor

AVITA WADE is a Licensed Practical Nurse healthcare provider located in CHARLOTTE, North Carolina. NPI 1023608957 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CHARLOTTE, NC

Registration Details

NPI Number
1023608957
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2021 (5.5920265615966 yrs)
Last Updated
Jan 25, 2021
License
089017 (NC)
Sole Proprietor
Yes

Practice Information

Address
5110 MISTY OAKS DR APT 1813
CHARLOTTE, NC, 282694397
Browse NC providers · Browse ZIP 28269
Phone
8436418326
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CHARLOTTE, NC

Name Credential NPI
MRS. GLORIA MCDANIEL-MASSEY LPN 1275737884
MS. LORRAINE JONES MCINTOSH 1578704854
MS. ROSA ANNA DILEO L.P.N. 1043451974
MRS. SHELBA RICHELLE BEST LPN 1861635526
MRS. STEPHANIE DENISE SMITH LPN 1386976108
MS. YOLANDA A LAWRENCE LPN 1275825218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.