MEDICARE: MICHELLE D ADAMS ARNP

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	163WE0003X	Emergency Registered Nurse	RN23513	MT
2	363LF0000X	Family Nurse Practitioner	ARNP9330687	FL
3	363LX0106X	Occupational Health Nurse Practitioner	AP4480	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912067489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE D ADAMS ARNP

Provider Business Mailing Address
First Line	:	9305 W. THOMAS RD SUITE 235
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037
Country	:	US
Telephone Number	:	623-327-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	9305 W THOMAS RD STE 235
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3363
Country	:	US
Telephone Number	:	623-327-4100
Fax Number	:

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	01/15/2025

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