MRS. TYESHA WADE, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1093408320
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 50188 (SC) |
Frequently Asked Questions
NPI 1093408320 is the National Provider Identifier for MRS. TYESHA WADE, LPN, a Licensed Practical Nurse provider located in Columbia, SC. This NPI was enumerated on June 1, 2023.
MRS. TYESHA WADE, LPN practices at 3616 KELFORD DR, Columbia, SC 29209.
Quick Facts
- NPI
- 1093408320
- Type
- Individual
- Enumerated
- Jun 1, 2023
- Last Updated
- Jun 1, 2023
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