Healthcare Provider Details

I. General information

NPI: 1093010977
Provider Name (Legal Business Name): DEENA ADAMS CNM/NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 03/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 FRESNO ST STE 101
FRESNO CA
93706-3641
US

IV. Provider business mailing address

302 FRESNO ST STE 101
FRESNO CA
93706-3641
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-5700
  • Fax: 559-457-5790
Mailing address:
  • Phone: 559-457-5700
  • Fax: 559-457-5790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM1308
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP9737
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: