DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RUTH WANDA WADE

MEDICARE: RUTH WANDA WADE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5017652NC
2363LF0000XFamily Nurse PractitionerAPRN11023697FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487366472
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH WANDA WADE
Provider Business Mailing Address
First Line : 4715 JACQUELYNE DR
Second Line :
City : INDIAN TRAIL
State : NC
Zip : 28079-9402
Country : US
Telephone Number : 561-967-5350
Fax Number :
Provider Business Practice Location Address
First Line : 5939 REDDMAN RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-1654
Country : US
Telephone Number : 704-703-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2022
Last Update Date : 05/13/2026

Similar Medicare Providers

1023978707 — LAKEINA SHELTON
Practice Location Address:
5939 REDDMAN RD
CHARLOTTE, NC
28212-1654
Practice Phone: 704-703-6060
Practice Fax:
1861512709 — SSC CHARLOTTE OPERATING COMPANY LLC
Practice Location Address:
5939 REDDMAN RD
CHARLOTTE, NC
28212-1654
Practice Phone: 704-563-6862
Practice Fax:
1639596851 — LASHONDA BARNETTE NP
Practice Location Address:
5939 REDDMAN RD
CHARLOTTE, NC
28212-1654
Practice Phone: 704-914-7926
Practice Fax: 704-899-2911
1093264251 — CAROLYN REBECCA KNIGHT
Practice Location Address:
5939 REDDMAN RD
CHARLOTTE, NC
28212-1654
Practice Phone: 704-563-6862
Practice Fax:
1316470636 — TARICA NICOLE YOUNG OTR/L
Practice Location Address:
5939 REDDMAN RD
CHARLOTTE, NC
28212-1654
Practice Phone: 704-563-6862
Practice Fax:
1518435650 — ACCORDIUS HEALTH AT CHARLOTTE LLC
Practice Location Address:
5939 REDDMAN RD
CHARLOTTE, NC
28212-1654
Practice Phone: 704-703-6060
Practice Fax:

Directions to “ RUTH WANDA WADE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.