Healthcare Provider Details

I. General information

NPI: 1811024862
Provider Name (Legal Business Name): PATRICIA J ADAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

7777 23RD AVE UNIT 1201
DENVER CO
80238-2741
US

V. Phone/Fax

Practice location:
  • Phone: 303-764-4456
  • Fax:
Mailing address:
  • Phone: 303-377-4161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN101051
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: