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NPI Code Detail

MEDICARE: MARIA ADAH

MEDICARE: MARIA ADAH
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2026014781MO

General Provider Information

NPI Number : 1265367262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ADAH
Provider Business Mailing Address
First Line : 4415 MAXWELL LN
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-6569
Country : US
Telephone Number : 573-239-0660
Fax Number :
Provider Business Practice Location Address
First Line : 1513 UNION AVE STE 2500
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9412
Country : US
Telephone Number : 660-372-1313
Fax Number : 660-372-1339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ MARIA ADAH ” Practice Location

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