Provider Demographics
NPI:1043427065
Name:ADAMS, ELIZABETH O'MEARA (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:O'MEARA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ADAMS
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3165 ERLE RD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-9775
Mailing Address - Country:US
Mailing Address - Phone:530-301-3771
Mailing Address - Fax:
Practice Address - Street 1:2445 ORO DAM BLVD E STE 8
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6035
Practice Address - Country:US
Practice Address - Phone:530-353-3332
Practice Address - Fax:530-353-3335
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP11042OtherNURSE PRACTITIONER
CARN397771OtherREGISTERED NURSE
CAMK0604377OtherDEA