Provider Demographics
NPI:1407010507
Name:FARIAS, ADRIANA
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:FARIAS
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 1:4477 MEDICAL CENTER WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3286
Mailing Address - Country:US
Mailing Address - Phone:561-840-7977
Mailing Address - Fax:
Practice Address - Street 1:4477 MEDICAL CENTER WAY
Practice Address - Street 2:SUITE A
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3286
Practice Address - Country:US
Practice Address - Phone:561-840-7977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide