Provider Demographics
NPI:1982233177
Name:ADAMS, PAULA
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8827 SWORDS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SWORDS CREEK
Mailing Address - State:VA
Mailing Address - Zip Code:24649-7771
Mailing Address - Country:US
Mailing Address - Phone:276-254-3494
Mailing Address - Fax:
Practice Address - Street 1:8827 SWORDS CREEK RD
Practice Address - Street 2:
Practice Address - City:SWORDS CREEK
Practice Address - State:VA
Practice Address - Zip Code:24649-7771
Practice Address - Country:US
Practice Address - Phone:276-254-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily