Individual
BRENDA DELOIS ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,CDE
Contact information
Practice address
9301 NW 33RD ST, DORAL, FL 33172-1202
(305) 904-3130
(305) 904-3823
Mailing address
9301 NW 33RD ST, DORAL, FL 33172-1202
(305) 904-3130
(305) 904-3823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704126485
MI
163WC0400X
Case Management Registered Nurse
Primary
RN 9402869
FL
163WD0400X
Diabetes Educator Registered Nurse
RN9402869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 9402869
DEPARTMENT OF HEALTH
FL
Enumeration date
11/29/2016
Last updated
11/29/2016
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