Provider Demographics
NPI:1497096762
Name:ADAMS, PATRICIA MARLENE (CRNP-PMH)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MARLENE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MULLINGAR CT UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LUTHVLE TIMON
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7802
Mailing Address - Country:US
Mailing Address - Phone:443-350-4376
Mailing Address - Fax:
Practice Address - Street 1:7505 OSLER DR STE 310
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7739
Practice Address - Country:US
Practice Address - Phone:443-350-4376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR088061363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health