RICHARD EARL WADE FNP-BC NPI 1952617201

NPI Information

NPI: 1952617201
Provider Name: RICHARD EARL WADE, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1284 E MADDISON ST
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 283-7534
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Richard Earl Wade, FNP-BC is a family nurse practitioner in San Tan Valley, AZ with 15 years of experience. Richard Earl Wade, FNP-BC NPI is 1952617201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1284 E MADDISON ST
SAN TAN VALLEY, AZ
ZIP 85140-765
Phone: (480) 283-7534

The NPI 1952617201 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 8/25/2010 and was last updated on 8/25/2010.

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	363LF0000X	Nurse Practitioner	Family	AP3524	ARIZONA	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: 4/28/2024

NPI Synchronization or Removal

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