Dianna Adams, ARNP

Individual provider Active NPI Nurse Practitioner · Florence, KY

NPI 1164488474 · NPPES record last updated Jul 25, 2008

Key facts

NPI
1164488474
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
2386P (KY)
Practice address
7380 Turfway Road
Florence, KY 41042
Phone
(859) 962-4600
Fax
(859) 962-4605
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2386PKYMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2386P KY Yes

Addresses

Primary practice location

7380 Turfway Road
Florence, KY 41042

Mailing address

7380 Turfway Rd
Florence, KY 41042-1355
Phone (859) 212-4600

Other identifiers

IdentifierTypeStateIssuer
2392610MedicaidOH
78009651MedicaidKY

Other providers in Florence, KY

All providers in Florence, KY · Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.