Provider Demographics
NPI:1649067133
Name:ADGER, ASIA (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:ADGER
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E BELLA VISTA ST UNIT 309
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3098
Mailing Address - Country:US
Mailing Address - Phone:863-651-2348
Mailing Address - Fax:
Practice Address - Street 1:900 E BELLA VISTA ST UNIT 309
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-3098
Practice Address - Country:US
Practice Address - Phone:863-651-2348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL372600000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion