# ADAM PREWITT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417589706
- **Gender:** Man
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3014139 | KY | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 01/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001344929 | ANTHEM PROVIDER ID NUMBER | — |
| 01 | — | 2165245 | WELLCARE OF KENTUCKY PROVIDER ID NUMBER | KY |
| 01 | — | 279842 | SIHO PROVIDER ID NUMBER | — |
| 05 | — | 300035090 | — | IN |
| 05 | — | 7100648480 | — | KY |
| 01 | — | 7326100 | UNITED HEALTHCARE PROVIDER ID NUMBER | — |
| 01 | — | CS2009900478 | CARESOURCE PROVIDER ID NUMBER | — |
| 01 | — | P02504366 | RAILROAD MEDICARE | KY |
| 01 | — | PDZ000000438558 | AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER | KY |