Provider Demographics
NPI:1851976930
Name:ADAMS, LINDSAY DIANE (CNM)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DIANE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 W AVENUE 43 APT 225
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-3525
Mailing Address - Country:US
Mailing Address - Phone:303-885-8719
Mailing Address - Fax:424-208-1259
Practice Address - Street 1:1445 N GARDNER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4101
Practice Address - Country:US
Practice Address - Phone:310-497-1423
Practice Address - Fax:424-208-1259
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-10
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA831437163W00000X
CANMW236270367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse