Provider Demographics
NPI:1578688297
Name:ADAMS, DANA CHERISE (MSN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:CHERISE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:CHERISE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 LA CASA VIA
Mailing Address - Street 2:STE 200
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3011
Mailing Address - Country:US
Mailing Address - Phone:925-935-3559
Mailing Address - Fax:925-933-5097
Practice Address - Street 1:2382 MARITIME DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-3658
Practice Address - Country:US
Practice Address - Phone:916-691-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily