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Individual

ELIZABETH A ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28184531A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
17556
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
2290922
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
4704327849
MI
363LC0200X
Critical Care Medicine Nurse Practitioner
71009495A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71009495A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300032627
IN
Enumeration date
02/25/2014
Last updated
08/30/2024
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