Provider Demographics
NPI:1962839407
Name:ADAMS, DAVID BURTON FORREST II (RN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BURTON FORREST
Last Name:ADAMS
Suffix:II
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 1:378 WHEATFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-4270
Mailing Address - Country:US
Mailing Address - Phone:740-815-5291
Mailing Address - Fax:
Practice Address - Street 1:378 WHEATFIELD DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-4270
Practice Address - Country:US
Practice Address - Phone:740-815-5291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.276320163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse