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Individual

MS. MARY E ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
13503 3RD AVE E, BRADENTON, FL 34212-9538
(941) 545-7111
(941) 545-7111
Mailing address
13503 3RD AVE E, BRADENTON, FL 34212-9538
(941) 545-7111
(941) 545-7111

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2016472
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2042251
CIGNA BEHAVIORAL HEALTH
05
308883900
FL
01
600479-206
MAGELLAN
01
7239360
AETNA
01
Y9827
BCBS OF FL
FL
Enumeration date
08/23/2006
Last updated
05/25/2013
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