Wade, Brina J

Wade, Brina J is an individual health care provider with primary practice located at 2625 W Pueblo Blvd , Pueblo CO 81004-3816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wade, Brina J can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2625 W Pueblo Blvd Pueblo CO 81004-3816
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0006553 Colorado

Profile Details

NPI number 1295279974
LBN Legal business name Wade, Brina J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2016
Last updated Jan 22nd, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295279974 NPPES
Colorado MEDICAID 9000189199

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