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Individual
MALIN SUZAN ADAMS
Active
Individual
MALIN SUZAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202201207RN
OR
163W00000X
Registered Nurse
248379
TN
363L00000X
Nurse Practitioner
202201837NP-PP
OR
363L00000X
Nurse Practitioner
Primary
71016471A
IN
363LG0600X
Gerontology Nurse Practitioner
202201837NP-PP
OR
Other
Enumeration date
08/12/2021
Last updated
07/02/2025
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