Individual
KRISTA S ADAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1414 N VERCLER RD BLDG 1, SPOKANE VALLEY, WA 99216-1092
(509) 928-6383
(509) 926-9420
Mailing address
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814-2656
(208) 667-0585
(208) 667-0876
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60958277
WA
363LP0200X
Pediatric Nurse Practitioner
NP562
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138449
REGENCE BLUE SHIELD
ID
01
—
000010138461
REGENCE BLUE SHIELD
ID
05
—
1841376241
—
MT
05
—
806340100
—
ID
05
—
9634577
—
WA
01
—
NPKO5
BLUE CROSS
ID
01
—
NPPQ6
BLUE CROSS OF IDAHO
ID
Enumeration date
10/27/2006
Last updated
04/09/2021
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