Provider Demographics
NPI:1407237167
Name:ADAMS, PATRICIA KANTU (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KANTU
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:KANTU
Other - Last Name:GOMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4750 E GALBRAITH RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6706
Mailing Address - Country:US
Mailing Address - Phone:513-981-4444
Mailing Address - Fax:513-686-4217
Practice Address - Street 1:4750 E GALBRAITH RD STE 105
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6706
Practice Address - Country:US
Practice Address - Phone:513-981-4444
Practice Address - Fax:513-686-4217
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.17522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily