Provider Demographics
NPI:1619773215
Name:ADKINS, AMBER LYNN (CNS, LDN, RN)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:ADKINS
Suffix:
Gender:F
Credentials:CNS, LDN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 COLD BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS GLENCOE
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9509
Mailing Address - Country:US
Mailing Address - Phone:302-668-9153
Mailing Address - Fax:
Practice Address - Street 1:908 COLD BOTTOM RD
Practice Address - Street 2:
Practice Address - City:SPARKS GLENCOE
Practice Address - State:MD
Practice Address - Zip Code:21152-9509
Practice Address - Country:US
Practice Address - Phone:302-668-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229845163W00000X
MDDX7138133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No163W00000XNursing Service ProvidersRegistered Nurse