Healthcare Provider Details

I. General information

NPI: 1730004730
Provider Name (Legal Business Name): ALEXEY WADE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

31 CAMSYN DR
WEAVERVILLE NC
28787-8818
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number375218
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: