MEDICARE: ELIZABETH O'MEARA ADAMS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11042	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NP11042	OTHER	CA	NURSE PRACTITIONER
2	RN397771	OTHER	CA	REGISTERED NURSE

General Provider Information

NPI Number	:	1043427065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH O'MEARA ADAMS NP

Provider Business Mailing Address
First Line	:	3165 ERLE RD
Second Line	:
City	:	MARYSVILLE
State	:	CA
Zip	:	95901-9775
Country	:	US
Telephone Number	:	530-301-3771
Fax Number	:

Provider Business Practice Location Address
First Line	:	2445 ORO DAM BLVD E STE 8
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6035
Country	:	US
Telephone Number	:	530-353-3332
Fax Number	:	530-353-3335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	03/07/2023

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