Provider Demographics
NPI:1467609099
Name:ADAIR, MARY L (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:L
Last Name:ADAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 BROOKS MILLER RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-9585
Mailing Address - Country:US
Mailing Address - Phone:740-420-7859
Mailing Address - Fax:
Practice Address - Street 1:7020 BROOKS MILLER RD
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-9585
Practice Address - Country:US
Practice Address - Phone:740-420-7859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN340082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse