Doctor Name: | MS. VICTORIA P ADAWAY |
NPI Number: | 1285664292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 1-036298 |
Business Practice Address: | 1602 Cogswell Ave Pell City, AL - 351251645 |
Business Phone Number: | 2053078046 |
Business Fax Number: | 2053384464 |
Mailing Address: | Po Box 531291, BIRMINGHAM |
State: | AL |
Postal Code: | 352531291 |
Phone Number: | 2053078046 |
Fax Number: | 2053384464 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 1-036298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |