Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP130926 | TX |
NPI | 1023561214 |
---|---|
Provider Name | Aimee Adams |
First Address | Rockport, TX 78382-3630 |
Second Address | Corpus Christi, TX 78410-2628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2016 |
Last Update Date | 25/07/2016 |