Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 00000 | ME |
NPI | 1609253608 |
---|---|
Provider Name | Crystal Brown Adams |
First Address | York, ME 03909-1011 |
Second Address | York, ME 03909-1011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 29/04/2015 |