Provider Demographics
NPI:1356540835
Name:ADAMS, ELIZABETH ELAINE
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ELAINE
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:BLANCHFIELD ACH, PREVENTIVE MEDICINE, PUBLIC HEALTH NUR
Mailing Address - Street 2:USA MEDDAC, BLDG. 2506 INDIANA ST AND 24TH ST.
Mailing Address - City:FORT CAMPBELL
Mailing Address - State:KY
Mailing Address - Zip Code:42223
Mailing Address - Country:US
Mailing Address - Phone:270-956-0100
Mailing Address - Fax:270-956-0124
Practice Address - Street 1:BLANCHFIELD ARMY COMMUNITY HOSPITAL/PM/PUBLIC HEALTH NU
Practice Address - Street 2:BLDG 2506 ON 24TH AND INDIANA ST.
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223
Practice Address - Country:US
Practice Address - Phone:270-956-0100
Practice Address - Fax:270-956-0124
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN094527163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health