Individual
MAITE C ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
806 S TYLER ST, COVINGTON, LA 70433-3350
(985) 246-5670
Mailing address
806 S TYLER ST, COVINGTON, LA 70433-3350
(985) 246-5670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN143156
LA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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