Healthcare Provider Details

I. General information

NPI: 1871999722
Provider Name (Legal Business Name): LYNN H ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNN H ADAMS RN

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 UNION ST
BIRDSBORO PA
19508-2645
US

IV. Provider business mailing address

932 UNION ST
BIRDSBORO PA
19508-2645
US

V. Phone/Fax

Practice location:
  • Phone: 928-679-4100
  • Fax: 928-679-4029
Mailing address:
  • Phone: 928-679-4100
  • Fax: 928-679-4029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN593128
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: