Provider Demographics
NPI:1346928017
Name:ADAMS, SYLVIA NICOLE
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:NICOLE
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 1:70 SOUTHFORK RD
Mailing Address - Street 2:
Mailing Address - City:PECKS MILL
Mailing Address - State:WV
Mailing Address - Zip Code:25547-9527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:70 SOUTHFORK RD
Practice Address - Street 2:
Practice Address - City:PECKS MILL
Practice Address - State:WV
Practice Address - Zip Code:25547-9527
Practice Address - Country:US
Practice Address - Phone:304-733-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant