Nicole Lynn Vesta Wade
Nicole Lynn Vesta Wade is a Developmental Therapist in Fort Wayne, Indiana. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2626 Saint Joe Center RdFort Wayne, IN 46825-5042
Phone: (260) 487-0328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1225875669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 12, 2024 |
| Last updated in NPPES | July 12, 2024 |
| Certification date | July 11, 2024 |
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