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NPI Code Detail

MEDICARE: ROSHAWNA R ADAMS LPN

MEDICARE:   ROSHAWNA R ADAMS  LPN
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
1164W00000XLicensed Practical Nurse306136-31WI

General Provider Information

NPI Number : 1689887044
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSHAWNA R ADAMS LPN
Provider Business Mailing Address
First Line : 3818 N 68TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2010
Country : US
Telephone Number : 414-712-9302
Fax Number :
Provider Business Practice Location Address
First Line : 3818 N 68TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2010
Country : US
Telephone Number : 414-712-9302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 03/19/2013

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Directions to “ ROSHAWNA R ADAMS LPN” Practice Location

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