Avita Wade
Avita Wade is a Licensed Practical Nurse in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2021
Practice location Address checks out
5110 Misty Oaks Dr Apt 1813Charlotte, NC 28269-4397
Phone: (843) 641-8326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 089017 (NC) |
|---|
Record details
| NPI number | 1023608957 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 25, 2021 |
| Last updated in NPPES | January 25, 2021 |
| Certification date | January 25, 2021 |
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