Provider Demographics
NPI:1235886961
Name:ADAMS, WINTER
Entity Type:Individual
Prefix:
First Name:WINTER
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:C/O WINTER ADAMS
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-0080
Mailing Address - Country:US
Mailing Address - Phone:740-621-5391
Mailing Address - Fax:
Practice Address - Street 1:7049 TRILLIUM LN
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4832
Practice Address - Country:US
Practice Address - Phone:740-621-5391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHN9BP235126OtherECRYPT WITH BIBERK