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Individual

KRISTA S ADAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

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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