Healthcare Provider Details

I. General information

NPI: 1033046164
Provider Name (Legal Business Name): VANESSA ADKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S DIAMOND ST APT 6
MANSFIELD OH
44907-1776
US

IV. Provider business mailing address

710 S DIAMOND ST APT 6
MANSFIELD OH
44907-1776
US

V. Phone/Fax

Practice location:
  • Phone: 330-310-0209
  • Fax:
Mailing address:
  • Phone: 330-310-0209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number0000345887
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: