Healthcare Provider Details

I. General information

NPI: 1215546460
Provider Name (Legal Business Name): NHORA ADAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 SUN N LAKE BLVD STE 102
SEBRING FL
33872-2138
US

IV. Provider business mailing address

2759 TREASURE CAY LN
SEBRING FL
33875-4776
US

V. Phone/Fax

Practice location:
  • Phone: 863-402-3161
  • Fax: 863-402-8244
Mailing address:
  • Phone: 954-629-8532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11008306
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: