Provider Demographics
NPI:1598980369
Name:ADAMS, PATRICK RUSSELL (RN)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:RUSSELL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WALKERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-5044
Mailing Address - Country:US
Mailing Address - Phone:207-324-2194
Mailing Address - Fax:
Practice Address - Street 1:8 WALKERS RIDGE DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-5044
Practice Address - Country:US
Practice Address - Phone:207-324-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER 051236163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health