Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 17556 | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2290922 | MA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 4704327849 | MI |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 71009495A | IN |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 71009495A | IN |
NPI | 1164847372 |
---|---|
Provider Name | Elizabeth A Adams |
First Address | Indianapolis, IN 46204-2292 |
Second Address | Indianapolis, IN 46204-2292 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2014 |
Last Update Date | 12/02/2021 |