Healthcare Provider Details

I. General information

NPI: 1407561376
Provider Name (Legal Business Name): JOSHUA RANDALL ADAMS DNP, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MELLON WAY
LATROBE PA
15650-1197
US

IV. Provider business mailing address

1020 FAULKNER WAY
GREENSBURG PA
15601-9044
US

V. Phone/Fax

Practice location:
  • Phone: 724-532-6051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License NumberRN566049
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN566049
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: