MR. NATHAN WADE P.A. NPI 1235567116

NPI Information

NPI: 1235567116
Provider Name: MR. NATHAN WADE, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: RANGE URGENT CARE PLLC

PECOS Registration: Yes

Address:
3851 VIRGINIA AVE
FORT PIERCE, FL
ZIP 34981
Phone: (772) 468-6969
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MR. Nathan Wade, P.A. is a medical physician assistant in Fort Pierce, FL with 11 years of experience. MR. Nathan Wade, P.A. NPI is 1235567116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2013

The provider's business location address is:

3851 VIRGINIA AVE
FORT PIERCE, FL
ZIP 34981-515
Phone: (772) 468-6969
Fax: (772) 465-5160

The NPI 1235567116 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 10/31/2013 and was last updated on 12/23/2014.

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
1	363AM0700X	Physician Assistant	Medical	PA9107582	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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