Crystal Dawn Adams

Individual provider Active NPI Peer Specialist · Bartlesville, OK

NPI 1225637366 · NPPES record last updated Oct 20, 2020

Key facts

NPI
1225637366
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
200 N Sante Fe Ave
Bartlesville, OK 74003
Phone
(918) 949-5110
NPI assigned
Oct 20, 2020
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OK Yes

Addresses

Primary practice location

200 N Sante Fe Ave
Bartlesville, OK 74003

Mailing address

200 N Sante Fe Ave
Bartlesville, OK 74003
Phone (918) 949-5110

Other providers in Bartlesville, OK

All providers in Bartlesville, OK · Peer Specialist in Oklahoma

Sources for this page

Verify at the official NPI Registry.