Healthcare Provider Details

I. General information

NPI: 1104079656
Provider Name (Legal Business Name): AUDREY MICHELLE ADAMS AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUDREY MICHELLE MORRISON AU.D.

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 FRANKLIN ST NE
WASHINGTON DC
20018-2546
US

IV. Provider business mailing address

2018 FRANKLIN ST NE
WASHINGTON DC
20018-2546
US

V. Phone/Fax

Practice location:
  • Phone: 513-560-1359
  • Fax:
Mailing address:
  • Phone: 513-560-1359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number000099
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000099
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: