Individual
ASHLEY NICOLE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3116 WOODCREEK WAY, BLOOMFIELD HILLS, MI 48304-1866
(248) 496-6319
Mailing address
3116 WOODCREEK WAY, BLOOMFIELD HILLS, MI 48304-1866
(248) 496-6319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13608
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
04/29/2026
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