Provider Demographics
NPI:1093010977
Name:ADAMS, DEENA (CNM/NP)
Entity Type:Individual
Prefix:
First Name:DEENA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNM/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 FRESNO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-3641
Mailing Address - Country:US
Mailing Address - Phone:559-457-5700
Mailing Address - Fax:559-457-5790
Practice Address - Street 1:302 FRESNO ST STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-3641
Practice Address - Country:US
Practice Address - Phone:559-457-5700
Practice Address - Fax:559-457-5790
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNM1308367A00000X
CANP9737363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner