Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA.15872-NP | OH |
NPI | 1013316736 |
---|---|
Provider Name | Tamara Grace Adams |
First Address | Hamilton, OH 45011-6005 |
Second Address | Hamilton, OH 45011-6005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2014 |
Last Update Date | 19/08/2014 |