Doctor Name: | TONI ALECIA ADAMS |
NPI Number: | 1538444500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 53-75534 |
Business Practice Address: | 919 Main St Neodesha, KS - 667571636 |
Business Phone Number: | 6203253055 |
Business Fax Number: | |
Mailing Address: | 1117 N 8th St, NEODESHA |
State: | KS |
Postal Code: | 667571255 |
Phone Number: | 9136342822 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 53-75534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |