Doctor Name: | TAMARA GRACE ADAMS |
NPI Number: | 1013316736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | COA.15872-NP |
Business Practice Address: | 610 High St Hamilton, OH - 450116005 |
Business Phone Number: | 5136038200 |
Business Fax Number: | 5139814226 |
Mailing Address: | 610 High St, HAMILTON |
State: | OH |
Postal Code: | 450116005 |
Phone Number: | 5136038200 |
Fax Number: | 5139814226 |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | COA.15872-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |