NPI 1356842140 · live from the CMS NPI Registry
Kristen Adams, APRN-CNP
Nurse Practitioner, Family in Tahlequah, OK. National Provider Identifier 1356842140, active.
NPI record
| NPI | 1356842140 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 100 S Bliss Ave, Tahlequah, OK 74464 |
| Practice phone | 918-458-3100 |
| Mailing address | 3194 W Idyllwood Ln, Hulbert, OK 74441 |
| Enumerated | February 27, 2018 |
| Last updated | February 27, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 97231 (OK) |
| Nurse Practitioner, Family primary | 363LF0000X | 97231 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.