Provider Demographics
NPI:1558505974
Name:MCADAMS, HEATHER N (RN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:N
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:502 NORTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45814
Mailing Address - Country:US
Mailing Address - Phone:419-420-5043
Mailing Address - Fax:419-365-5759
Practice Address - Street 1:502 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:45814
Practice Address - Country:US
Practice Address - Phone:419-420-5043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 122363 IV164W00000X
OHRN500493163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse