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CYNTHIA GAYLE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
171 ROUND RD, #611584, ROSEMARY BEACH, FL 32461-1007
(985) 630-3445
Mailing address
PO BOX 611584, ROSEMARY BEACH, FL 32461-1007
(985) 630-3445

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP02132
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0215890
ANCC
LA
05
1686557
LA
01
1891010047
NPI
LA
01
363L00000X
TAXONOMY NPI
LA
01
3B684
MEDICARE FI/MAC: PINNACLE BUSINESS SOLUTIONS, INC.-LA
LA
01
AP02132/RN0765868
LICENSE
LA
01
ARNP 9361399, 173841
APRN LICENSE
FL
01
PA021073
PA#
LA
Enumeration date
03/31/2010
Last updated
12/19/2013
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