Individual
MS. ANDREA DAWN ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
4315 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1639
(863) 816-5884
(813) 792-4745
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7000
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1645912
FL
363LF0000X
Family Nurse Practitioner
ARNP1645912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497748743
GROUP NPI NUMBER/ LRHSI
—
05
—
306706800
—
FL
05
—
306706880
—
FL
01
—
DA5786
RAILROAD MEDICARE GROUP ID NUMBER / LRHSI
FL
01
—
Y8489Y
MEDICARE PTAN / LRHSI
FL
Enumeration date
09/22/2005
Last updated
11/06/2013
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