Provider Demographics
NPI:1326183740
Name:ADAMS, MARIA ANTOINETTA (RN, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ANTOINETTA
Last Name:ADAMS
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Gender:F
Credentials:RN, CRNA
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Mailing Address - Street 1:2641 LOCKWOOD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5020
Mailing Address - Country:US
Mailing Address - Phone:910-778-9746
Mailing Address - Fax:910-778-9746
Practice Address - Street 1:2641 LOCKWOOD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5020
Practice Address - Country:US
Practice Address - Phone:910-778-9746
Practice Address - Fax:910-778-9746
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC084792367500000X
GARN136920367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered