Doctor Name: | MRS. DANA MICHELE ADAMS |
NPI Number: | 1912090275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | CP000364 |
Business Practice Address: | 280 1st St 49 Medical Group Holloman Air Force Base, NM - 883308273 |
Business Phone Number: | 5055727238 |
Business Fax Number: | 5055723057 |
Mailing Address: | 2608 Kentwood Ct, LAS CRUCES |
State: | NM |
Postal Code: | 880114327 |
Phone Number: | 7022363451 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2006 |
NPI Last Update Date: | 12/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | CP000364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |