Provider Demographics
NPI:1043077191
Name:ADAMS, CAROLINE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 KESSEL CT APT 31
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-6236
Mailing Address - Country:US
Mailing Address - Phone:262-247-6978
Mailing Address - Fax:
Practice Address - Street 1:60 KESSEL CT APT 31
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-6236
Practice Address - Country:US
Practice Address - Phone:262-247-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1106411163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health