Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 21185 | CA |
N | 363LN0000X | Nurse Practitioner - Neonatal | ARNP9306512 | FL |
NPI | 1003110974 |
---|---|
Provider Name | Wendy Leigh Adams |
First Address | Palo Alto, CA 94303-3341 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2011 |
Last Update Date | 29/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003105211A | (05) | GA |
003105211B | (05) | GA |
0031379-00 | (05) | FL |