Doctor Name: | MRS. ANETTA ADAMS |
NPI Number: | 1063782548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, FNP-BC, RNFA |
License Number: | APN001295 |
Business Practice Address: | 2020 8th Ave Ste 200 West Linn, OR - 970684657 |
Business Phone Number: | 5035121212 |
Business Fax Number: | 5035121220 |
Mailing Address: | 2020 8th Ave Ste 200, WEST LINN |
State: | OR |
Postal Code: | 970684657 |
Phone Number: | 5035121212 |
Fax Number: | 5035121220 |
NPI Enumeration Date: | 12/30/2011 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN001295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |