Individual
HARVEY SHANE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12112 GREENLAWN AVE, OKLAHOMA CITY, OK 73170-4842
(405) 823-5302
Mailing address
12112 GREENLAWN AVE, OKLAHOMA CITY, OK 73170-4842
(405) 823-5302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0077957
OK
Other
Enumeration date
09/06/2016
Last updated
10/04/2017
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