Healthcare Provider Details

I. General information

NPI: 1629822655
Provider Name (Legal Business Name): YUKA ADAMS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MDG, UNIT 3215 RAMSTEIN AB
APO AE
09094-3215
US

IV. Provider business mailing address

86 MDG, UNIT 3215 RAMSTEIN AB
APO AE
09094-3215
US

V. Phone/Fax

Practice location:
  • Phone: 314-479-2388
  • Fax:
Mailing address:
  • Phone: 314-479-2388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0036419
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: