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Dr. Wade Jason Brandt, CNP
Family Nurse Practitioner in Newark, New York
NPI 1629070297

Wade Jason Brandt is a Family Nurse Practitioner based in Rochester, NY and is specialized in Family. Wade Jason Brandt practices in Newark, NY and has the professional credentials of CNP. The NPI Number for Wade Jason Brandt is 1629070297 and holds a License No. R038406ANDCP000642 (New York).

The current practice location address for Wade Jason Brandt is 1200 Driving Park Ave, Newark, NY and can be reached out via phone at 315-359-2123 and via fax at 315-359-2167.

Location: 1200 Driving Park Ave, Newark, NY, 14617-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629070297
Provider Name
Wade Jason Brandt
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1200 Driving Park Ave, Newark, NY, 14617-5504
Phone Number
315-359-2123
Fax Number
315-359-2167
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500704675 05 OR
institution
Provider Business Practice Location Address Details
Address
1200 Driving Park Ave
City
Newark
State
New York
Zip
14513
Phone Number
315-359-2123
Fax Number
315-359-2167
person
Provider Business Mailing Address Details
Address
1200 Driving Park Ave
City
Newark
State
New York
Zip
14513
Phone Number
315-359-2123
Fax Number
315-359-2167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
201802902NP-PP (Oregon)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R038406ANDCP000642 (South Dakota)
Definition
Definition to come...
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