Provider Demographics
NPI:1356653125
Name:ADAMS, WINDY MARIE (APRN, FNP-C, MN)
Entity Type:Individual
Prefix:
First Name:WINDY
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:APRN, FNP-C, MN
Other - Prefix:
Other - First Name:WINDY
Other - Middle Name:MARIE
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1990 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363
Mailing Address - Country:US
Mailing Address - Phone:985-873-2200
Mailing Address - Fax:985-873-1766
Practice Address - Street 1:1990 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-7055
Practice Address - Country:US
Practice Address - Phone:985-873-2200
Practice Address - Fax:985-873-1766
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN111109-6153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2120506Medicaid
LA3B7557627Medicare PIN