Provider Demographics
NPI:1336462639
Name:ADAMS, ELNOVIS UNIECE (RN)
Entity Type:Individual
Prefix:MS
First Name:ELNOVIS
Middle Name:UNIECE
Last Name:ADAMS
Suffix:
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 1:3214 N 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3312
Mailing Address - Country:US
Mailing Address - Phone:414-254-9629
Mailing Address - Fax:414-447-6564
Practice Address - Street 1:3214 N 47TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3312
Practice Address - Country:US
Practice Address - Phone:414-254-9629
Practice Address - Fax:414-447-6564
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI150231-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse