Provider Demographics
NPI:1497209712
Name:ADAMS, RIKKI LANAYA (CRNP)
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:LANAYA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 ROCK SPRING RD STE C
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2818
Mailing Address - Country:US
Mailing Address - Phone:108-386-3584
Mailing Address - Fax:
Practice Address - Street 1:1517 ROCK SPRING RD
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2818
Practice Address - Country:US
Practice Address - Phone:410-838-6358
Practice Address - Fax:410-838-6750
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185630163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse