Avita Wade is a licensed practical nurse in Charlotte, NC. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Avita Wade NPI is 1023608957. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5110 MISTY OAKS DR APT 1813
CHARLOTTE, NC
ZIP 28269-397
Phone: (843) 641-8326
The enumeration date for this NPI number is 1/25/2021 and was last updated on 1/25/2021.