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AVITA WADE
NPI 1023608957
Licensed Practical Nurse in Charlotte, NC

Active since January 25, 2021
5110 MISTY OAKS DR APT 1813, CHARLOTTE, NC 28269(843) 641-8326 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avita Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVITA WADE (NPI 1023608957) is an individual licensed practical nurse in Charlotte, North Carolina, licensed in North Carolina (089017) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1023608957
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAVITA WADE
Location Address5110 MISTY OAKS DR APT 1813Charlotte, NC 28269-4397
Mailing Address5110 Misty Oaks Dr Apt 1813Charlotte, NC 28269-4397
Phone(843) 641-8326
Sole ProprietorYes
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1023608957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NC · 089017
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5110 MISTY OAKS DR APT 1813, Charlotte, NC 28269
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avita Wade's NPI number?

The NPI number for Avita Wade is 1023608957. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Avita Wade located?

Avita Wade practices at 5110 Misty Oaks Dr Apt 1813, Charlotte, NC 28269. The listed phone number is (843) 641-8326.

What is Avita Wade's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Avita Wade was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.