Wade Jason Brandt is a Family in Rochester, New York. Wade Jason Brandt practices all healthcare services and medical treatments related to Family. The NPI Number for Wade Jason Brandt is 1629070297. The last update date is 2019-10-24.
Wade Jason Brandt's current location address is 100 Kings Hwy S, Rochester, New York. You can contact this provider via phone number 3153592123 and fax number 3153592167. The mailing address for Wade Jason Brandt is 100 Kings Hwy S, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wade Jason Brandt |
|---|---|
| Address | 100 Kings Hwy S, Rochester, New York |
| Phone Number | 3153592123 |
| Fax Number | 3153592167 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1629070297 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2019-10-24 |
Provider Mailing Address Detail
| Address | 100 Kings Hwy S |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146175504 |
| Phone Number | 3153592123 |
| Fax Number | 3153592167 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 201802902NP- |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500704675 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wade Jason Brandt by the Centers for Medicare & Medicaid Services?
The Wade Jason Brandt has been assigned the NPI (National Provider Identifier) 1629070297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wade Jason Brandt?
The Wade Jason Brandt is situated at 100 Kings Hwy S, in the city of Rochester, state of NY, with the zip code 146175504.
What is the Wade Jason Brandt's specialty and taxonomy code?
The Wade Jason Brandt's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Wade Jason Brandt's 1629070297 issued?
The Wade Jason Brandt's 1629070297 was issued on 2005-08-12.
As of what date was the information pertaining to Wade Jason Brandt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wade Jason Brandt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-24.