Individual
MR. NATHAN EDWARD ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP, ACNP-BC
Contact information
Practice address
W5270 BECHAUD BEACH DR, FOND DU LAC, WI 54935-1920
(920) 265-5772
Mailing address
W5270 BECHAUD BEACH DR, FOND DU LAC, WI 54935-1920
(920) 265-5772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6300-33
WI
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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