Provider Demographics
NPI:1538509849
Name:ADAMS, EMILY LYNN (PA-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LEXINGTON ST
Mailing Address - Street 2:APT B8
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-5092
Mailing Address - Country:US
Mailing Address - Phone:919-218-2374
Mailing Address - Fax:
Practice Address - Street 1:100 LEXINGTON ST
Practice Address - Street 2:APT B8
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-5092
Practice Address - Country:US
Practice Address - Phone:919-218-2374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4739363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical