Individual
MRS. PETRA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
221 W COLORADO BLVD, 929, DALLAS, TX 75208-2363
(214) 960-5681
Mailing address
6011 CEDAR GLEN CT, GRAND PRAIRIE, TX 75052-0410
(972) 740-6046
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129690
TX
Other
Enumeration date
12/03/2015
Last updated
09/13/2016
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