Pamela Adams, MS, CNS, LDN

Individual provider Active NPI Nutritionist · Annapolis, MD

NPI 1164946307 · NPPES record last updated Jul 31, 2017

Key facts

NPI
1164946307
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
License
DX4249 (MD)
Practice address
1834 George Ave
Annapolis, MD 21401-4103
Phone
(443) 333-9332
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX4249MDMDNutritionist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist
Group: 193400000X SINGLE SPECIALTY GROUP
133N00000X DX4249 MD Yes

Addresses

Primary practice location

1834 George Ave
Annapolis, MD 21401-4103

Mailing address

1976 Scotts Crossing Way Apt 301
Annapolis, MD 21401-8227
Phone (443) 333-9332

Other providers in Annapolis, MD

All providers in Annapolis, MD · Nutritionist in Maryland

Sources for this page

Verify at the official NPI Registry.