Provider Demographics
NPI:1982458261
Name:ADAMS, KYRBE NICOLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KYRBE
Middle Name:NICOLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KYRBE
Other - Middle Name:NICOLE
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9593 VILLAGE TREE DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-1198
Mailing Address - Country:US
Mailing Address - Phone:209-251-5374
Mailing Address - Fax:
Practice Address - Street 1:9593 VILLAGE TREE DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-1198
Practice Address - Country:US
Practice Address - Phone:209-251-5374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95244818163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse