Individual
MRS. SANDRA LEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3100 N WEST ST STE 200B, FLAGSTAFF, AZ 86004-1651
(928) 389-9041
(928) 389-9042
Mailing address
3100 N WEST ST STE 200B, FLAGSTAFF, AZ 86004-1651
(928) 389-9041
(928) 389-9042
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
260689
AZ
363LA2100X
Acute Care Nurse Practitioner
NCO-000008
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN136956
GA
363LG0600X
Gerontology Nurse Practitioner
NCO-000008
GA
363LG0600X
Gerontology Nurse Practitioner
RN136956
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260689
NP
AZ
01
—
NCO-000008
NP
GA
01
—
RN136956
RN
GA
Enumeration date
06/21/2019
Last updated
04/28/2026
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