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NPI Code Detail

MEDICARE: NICOLE ADAMS FNP

MEDICARE: NICOLE ADAMS FNP
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
1363LF0000XFamily Nurse Practitioner95021699CA

General Provider Information

NPI Number : 1730889270
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ADAMS FNP
Provider Business Mailing Address
First Line : 1857 1/2 PANDORA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5038
Country : US
Telephone Number : 310-500-7656
Fax Number :
Provider Business Practice Location Address
First Line : 1225 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1901
Country : US
Telephone Number : 213-977-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 04/13/2024

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Directions to “ NICOLE ADAMS FNP” Practice Location

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