NPI 1659607836 · live from the CMS NPI Registry
Iris Maria Adams
Licensed Practical Nurse in Douglasville, GA. National Provider Identifier 1659607836, active.
NPI record
| NPI | 1659607836 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Licensed Practical Nurse 164W00000X |
| Practice location | 8198 Chicago Ave, Douglasville, GA 30134 |
| Practice phone | 678-923-1351 |
| Enumerated | October 23, 2009 |
| Last updated | October 12, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse primary | 164W00000X | 310893-031 (WI) |
| Licensed Practical Nurse | 164W00000X | LPN085449 (GA) |
| Case Manager/Care Coordinator | 171M00000X | LPN085449 (GA) |
| Home Health Aide | 374U00000X | LPN085449 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.