Healthcare Provider Details

I. General information

NPI: 1518514686
Provider Name (Legal Business Name): L'RENDA A ADAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CABARRUS AVE E STE 200
CONCORD NC
28025-3781
US

IV. Provider business mailing address

8724 BODKIN CT
CHARLOTTE NC
28215-7356
US

V. Phone/Fax

Practice location:
  • Phone: 704-998-7082
  • Fax:
Mailing address:
  • Phone: 704-998-7082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012770
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: