Healthcare Provider Details

I. General information

NPI: 1659724623
Provider Name (Legal Business Name): ADOBEA ASIAM CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6596 ORPHANAGE RD
WAYNESBORO PA
17268-7804
US

IV. Provider business mailing address

6596 ORPHANAGE RD
WAYNESBORO PA
17268-7804
US

V. Phone/Fax

Practice location:
  • Phone: 717-749-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR181033
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025106
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP025106
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number109495
License Number StateWV
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0024194959
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: