Provider Demographics
NPI:1366680787
Name:ADAMS, KAREN L (APRN FNP-BC MSN CDE)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:APRN FNP-BC MSN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2299 WOODBURY AVE STE 4-1
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7831
Mailing Address - Country:US
Mailing Address - Phone:603-610-7900
Mailing Address - Fax:844-871-3494
Practice Address - Street 1:2299 WOODBURY AVE
Practice Address - Street 2:STE 4-1
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-7854
Practice Address - Country:US
Practice Address - Phone:603-610-7900
Practice Address - Fax:844-871-3494
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH036087-21163WD0400X
NH036087-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHP01147940OtherRAILROAD MEDICARE
NH3072192Medicaid
NH30349180Medicaid
NH002469903Medicare PIN