Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 142406 | NC |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 142406 | NC |
N | 363LG0600X | Nurse Practitioner - Gerontology | 900335 | NC |
NPI | 1043249741 |
---|---|
Provider Name | Deborah A Adams-Wingate |
First Address | Wilmington, NC 28403-6727 |
Second Address | Wilmington, NC 28403-6727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 18/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7004182 | (05) | NC |
P98405 | (02) | NC |