ASHLEY NICOLE WADE PA-S2 NPI 1174236418

NPI Information

  • NPI: 1174236418
  • Provider Name: ASHLEY NICOLE WADE, PA-S2
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3116 WOODCREEK WAY
    BLOOMFIELD HILLS, MI
    ZIP 48304
  • Phone: (248) 496-6319

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NPI Details

Ashley Nicole Wade, PA-S2 is a student in an organized health care education training program in Bloomfield Hills, MI with 3 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ashley Nicole Wade, PA-S2 NPI is 1174236418. 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:

3116 WOODCREEK WAY
BLOOMFIELD HILLS, MI
ZIP 48304-866
Phone: (248) 496-6319

The NPI 1174236418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2023 and was last updated on 1/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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