Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP024588 | PA |
NPI | 1023771193 |
---|---|
Provider Name | Victoria Adams |
First Address | Abington, PA 19001-3720 |
Second Address | Abington, PA 19001-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2021 |
Last Update Date | 09/02/2022 |