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NPI Code Detail

MEDICARE: CELINA L ADAMS APRN

MEDICARE: CELINA L ADAMS APRN
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
1363LG0600XGerontology Nurse PractitionerNPP37697RI
2363LG0600XGerontology Nurse Practitioner6384CT

General Provider Information

NPI Number : 1780948596
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINA L ADAMS APRN
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HIGHWAY
Second Line : HHC - CVO
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 80 NORWICH NEW LONDON TPKE STE 2E
Second Line :
City : UNCASVILLE
State : CT
Zip : 06382-2527
Country : US
Telephone Number : 860-425-8740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2012
Last Update Date : 11/27/2023

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