Healthcare Provider Details

I. General information

NPI: 1407342710
Provider Name (Legal Business Name): RACHEL CARY ADAMS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

1144 SHARON COPLEY RD
WADSWORTH OH
44281-9775
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-6505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP.021747
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number023046
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: