Provider Demographics
NPI:1639474372
Name:ADAMS, MAYA Z (CNM)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:Z
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:A
Other - Last Name:ZIADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5979 E GRANT RD
Mailing Address - Street 2:#107
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2341
Mailing Address - Country:US
Mailing Address - Phone:520-795-9912
Mailing Address - Fax:520-795-9934
Practice Address - Street 1:5979 E GRANT RD
Practice Address - Street 2:#107
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2341
Practice Address - Country:US
Practice Address - Phone:520-795-9912
Practice Address - Fax:520-795-9934
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN119824367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife