Individual
MRS. CAROL JOY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2385
(570) 321-2479
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
085688
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN624890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025708190001
—
PA
Enumeration date
12/31/2010
Last updated
02/10/2012
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