Provider Demographics
NPI:1376780619
Name:ADAMS, DONNA BOTZ (RN,MSN,ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:BOTZ
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN,MSN,ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 PRATT ST STE 9000
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-668-4716
Mailing Address - Fax:919-668-1091
Practice Address - Street 1:2400 PRATT ST STE 9000
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-668-4716
Practice Address - Fax:919-668-1091
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC140177363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health