Provider Demographics
NPI:1134664964
Name:ADAMS, SARA MORGAN I (RN)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:MORGAN
Last Name:ADAMS
Suffix:I
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8275 CANNON RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19933-3755
Mailing Address - Country:US
Mailing Address - Phone:302-228-1021
Mailing Address - Fax:
Practice Address - Street 1:8275 CANNON RD
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:DE
Practice Address - Zip Code:19933-3755
Practice Address - Country:US
Practice Address - Phone:302-228-1021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0049513163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse