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Individual
AUDRA ELIZABETH ADAMS
Active
Individual
AUDRA ELIZABETH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007027
MI
363A00000X
Physician Assistant
PA182433
OR
363A00000X
Physician Assistant
PA61260795
WA
363AS0400X
Surgical Physician Assistant
PA182433
OR
363AS0400X
Surgical Physician Assistant
PA61260795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734408
—
OR
Enumeration date
05/07/2013
Last updated
01/13/2025
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