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Dustin Wade, LPN,BSHA,CPHQ
Licensed Practical Nurse in Midlothian, Virginia
NPI 1669846648

Dustin Wade is a Licensed Practical Nurse based in Midlothian, VA. Dustin Wade practices in Midlothian, VA and has the professional credentials of LPN,BSHA,CPHQ. The NPI Number for Dustin Wade is 1669846648 and holds a License No. 0002082700 (Virginia).

The current practice location address for Dustin Wade is 4612 Bridgewood Rd, Midlothian, VA and can be reached out via phone at 804-714-6120 and via fax at 804-454-0855.

Location: 4612 Bridgewood Rd, Midlothian, VA, 23112-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669846648
Provider Name
Dustin Wade
Credential
LPN,BSHA,CPHQ
Provider Entity Type
Individual
Gender
Male
Address
4612 Bridgewood Rd, Midlothian, VA, 23112-2812
Phone Number
804-714-6120
Fax Number
804-454-0855
Provider Enumeration Date
11/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4612 Bridgewood Rd
City
Midlothian
State
Virginia
Zip
23112-2812
Phone Number
804-714-6120
Fax Number
804-454-0855
person
Provider Business Mailing Address Details
Address
4612 Bridgewood Rd
City
Midlothian
State
Virginia
Zip
23112-2812
Phone Number
804-714-6120
Fax Number
804-454-0855
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
0002082700 (Virginia)
Definition
An individual 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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
0002082700 (Virginia)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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