IndividualActive
Alexandra Wade, FNP
NPI 1902648207 · Acute Care Nurse Practitioner · Manteca, CA
Provider details
- NPI number
- 1902648207
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 95026359 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
250 Northgate Dr Ste 102
Manteca, CA 95336-3161
Phone: (209) 239-5299
Approximate (ZIP-level) locationGet directions
Mailing address
2399 58th St
Sacramento, CA 95817-1724
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.