Provider Demographics
NPI:1518139708
Name:ADAMS, MILAGROS M (CRNP)
Entity type:Individual
Prefix:
First Name:MILAGROS
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 CODORUS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17362-9102
Mailing Address - Country:US
Mailing Address - Phone:410-336-7479
Mailing Address - Fax:
Practice Address - Street 1:10 NORTH GREEN STREET
Practice Address - Street 2:VAMHCS
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-0000
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR169018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily