Provider Demographics
NPI:1508158791
Name:ADAMS, SYLVIA P (MSN, RN, APMH/CNS)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:P
Last Name:ADAMS
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Gender:F
Credentials:MSN, RN, APMH/CNS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:4 WILTON CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-4073
Mailing Address - Country:US
Mailing Address - Phone:636-946-4803
Mailing Address - Fax:636-946-4803
Practice Address - Street 1:12255 DEPAUL DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-344-7770
Practice Address - Fax:314-298-0556
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO084686163W00000X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse